Patient Centered Care

SCAN Health Plan Announces Medicare Advantage Expansion into TX

August 8, 2022 - SCAN Health Plan (SCAN) announced it will be extending Medicare Advantage plans into Texas and new counties in Nevada in 2023. “As SCAN continues to grow and build its national reputation as a leader in senior healthcare, our unique approach to provider relationships enables us to deliver quality care and service for older adults that stands...


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Applying Whole Person Care to Digital Care for Underserved Members

by Kelsey Waddill

Payers have a significant role to play in ensuring that underserved populations receive whole person care, particularly among Medicaid beneficiaries. First, they can serve as a bridge between Medicaid beneficiaries and their primary care...

BCBS Introduces Value-Based, Patient-Centered Kidney Care Model

by Hannah Nelson

Blue Cross and Blue Shield of North Carolina (Blue Cross NC) has introduced a value-based care program that focuses on improving health outcomes for members with kidney disease through coordinated and...

Key Quality Measures for 2020, How to Select Measures Effectively

by Kelsey Waddill

The Core Quality Measure Collaborative (CQMC), a partnership between America’s Health Insurance Plans, CMS, and the National Quality Forum (NQF) that establishes quality measures to promote...

CA Legislature Expands Behavioral, Mental Healthcare Parity Law

by Kelsey Waddill

Under a newly revised bill from the California state legislature, California health plans will have to cover mental health conditions to the same extent they do medical services in an effort to achieve...

MA Senate Aims To Reduce Drug Spending With Step Therapy Reform

by Kelsey Waddill

The Massachusetts State Senate has passed a bill that would introduce step therapy reform, restricting a practice that payers commonly use to decrease patient prescription drug...

How Payers Can Improve Member Engagement by Partnering with Members

by Kelsey Waddill

Payers have continued to see low consumer satisfaction with member engagement throughout the coronavirus pandemic, as plans scored an overall satisfaction score of 719 out of 1,000, a recent JD Power...

3 Ways Payers Drive Population Health Management in Cancer Care

by Kelsey Waddill

The industry’s transition into value-based care is characterized by a focus on data and patient centered care. By driving strong population health management, payers can excel in this value-based...

Five Gaps Block Patient Centered Care in Chronic Disease Management

by Kelsey Waddill

Five gaps prevent Medicare Advantage health plans from engaging in successful patient-centered care for chronic disease management, a HealthMine survey concluded. "We see that plans have definitely...

Cigna and MSK Start Value-Based, Coordinated Cancer Care Program

by Kelsey Waddill

Cigna and Memorial Sloan Kettering (MSK) Cancer Center are collaborating to provide members with value-based, coordinated cancer care, Cigna announced. “We’re pleased to partner with...

Patient-Centered Methods Help Health Plans Boost Cancer Care

by Jessica Kent

Employers and payers should ensure their health plans use patient-centered methods and provider performance measurement strategies to reduce costs and improve cancer care, a report from the National...

Payer Collaboration Can Address Social Determinants of Health

by Thomas Beaton

Billions in overspending on medical costs are attributed to social determinants of health (SDOH), and SDOH can identify if beneficiaries covered by insurance plans are at risk for adverse health...

UnitedHealthcare of WI Grants $100K to Community Disability Groups

by Thomas Beaton

UnitedHealthcare Community Plan of Wisconsin awarded four non-profit community health organizations a total of $100,000 to enhance healthcare access and resources for individuals with...

Humana Foundation Awards $735K To Improve Community Health

by Thomas Beaton

The Humana Foundation announced awards totaling $735,000 to help South Florida nonprofits to help improve community health. As part of the payer’s philanthropic pursuits, the grants are being...

Aetna, Oscar Health Create Provider-Based Health Insurance Plans

by Jesse Migneault

Two new provider-based health insurance plans will be available in 2018, as Aetna and Oscar Health align with Sutter Health and the Cleveland Clinic, respectively, to offer new coverage options for...

Population Health Approach to Prenatal Care Cuts Payer Costs

by Jesse Migneault

Health insurance payers can improve patient outcomes and reduce spending by expanding the use of population health management models for expectant mothers.  Early intervention and preventive care...

Why Payers Need to Address Patient-Centered Medicine

by Vera Gruessner

The healthcare insurance industry needs to meet the demands of consumers looking for quality provider data. Patient-centered medicine is becoming a mainstay throughout the country and cost transparency...