Patient Engagement

Health Insurance Exchanges Require Engagement, Narrow Networks

by Vera Gruessner

Since some private health payers are struggling with enrollment and the ability to make a profit on the health insurance exchanges, engaging consumers, reducing the administrative burden, and creating...

Six Medicaid ACOs Vary in Consumer Engagement Success

by Vera Gruessner

Consumer engagement in a number of Medicaid accountable care organizations (ACOs) tend to vary significantly, according to a September 2016 report from the Center for Consumer Engagement in Health...

Why Payers Should Consider Consumer Needs in Value-Based Care

by Vera Gruessner

The Healthcare Financial Management Association (HFMA) released a new report called Health Care 2020: Consumerism showing that the health insurance industry has two new trends affecting it: a greater...

Price Transparency Key Issue Among Health Payers and Employers

by Vera Gruessner

The movement toward price transparency is gaining strength as healthcare reform continues to stress consumer and patient satisfaction. Employers have been seeking ways to improve price transparency for...

Why Bundled Payments are Essential for Payers to Adopt

by Vera Gruessner

While the Centers for Medicare & Medicaid Services (CMS) was first to implement bundled payments in one of its many programs meant to renovate provider reimbursement processes, private health...

Cost Shifting to Consumers May Reduce Patient Satisfaction

by Vera Gruessner

Consumer choice, patient satisfaction, and out-of-pocket spending is becoming a more pressing issue in the new political climate caused due to a blossoming of healthcare reforms. Within this new...

Communication, Cost Transparency Impact Patient Engagement

by Vera Gruessner

Patient engagement is becoming a more and more relevant term in today’s changing healthcare landscape. With more consumers than ever before becoming responsible for their healthcare costs via...

Why Payers Should Include Consumer Engagement in Health Plans

by Vera Gruessner

In order to ensure that the health insurance exchange successfully reduces healthcare spending, it may be necessary to strengthen consumer engagement and education so that policyholders continually...

Consumer Healthcare Spending Trends Show Uptick in Engagement

by Vera Gruessner

Consumers today are becoming more and more responsible for covering the costs of healthcare services especially due to the greater proliferation of high-deductible health plans and out-of-pocket...

Healthcare Spending for Diabetes Patients Rose 6% in 2014

by Vera Gruessner

People who have to manage diabetes are in worse shape financially than those without the disease. The Health Care Cost Institute (HCCI) published a study showing that healthcare spending rates among...

Why Payers Should Adhere to Patient Engagement, Consumer Choice

by Vera Gruessner

Consumer choice in health plans and provider networks is becoming a more popular topic of late among payers looking to increase patient engagement. There is a growing movement around the nation aimed...

Slavitt: Health Insurance Marketplace Boosts Patient Engagement

by Vera Gruessner

The federal government has taken a wide variety of steps to strengthen patient care and healthcare revenue systems throughout the country. Specifically, the Centers for Medicare & Medicaid Services...

‘Data is Key’ to Cut Healthcare Spending, Boost Engagement

by Vera Gruessner

A major goal among health payers today is to decrease continually rising healthcare spending. One way to do so is to identify patients who are at higher risk of deteriorating medical conditions and...

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...

Health Insurance Exchange Displays 2 Consumer Engagement Tools

by Vera Gruessner

The health insurance exchange under the Affordable Care Act is undergoing some renovations over the next year, reports Kevin Counihan, CEO of HealthCare.gov and Dr. Patrick Conway, Principal Deputy...

Primary Care Payment Reform Targeted in Multi-Payer Initiative

by Vera Gruessner

The Centers for Medicare & Medicaid Services (CMS) are renovating how primary care is delivered throughout the United States. According to a news release from the agency, CMS is launching a program...

Why Payers Should Improve Cost Transparency for Consumers

by Vera Gruessner

The health insurance industry could benefit from greater cost transparency, as it could bring new methods for lowering healthcare spending and create a more competitive market among providers. Federal...

How the Affordable Care Act has Impacted Health Payers

by Vera Gruessner

The Affordable Care Act has  brought a significant reform toward the health insurance industry. This particular legislation has given the majority of American people healthcare coverage, which has...

Concierge Medicine Model Impacts Population Health Management

by Vera Gruessner

The concierge medicine model is becoming more and more prominent around the nation, as healthcare providers continue to adopt the new payment system. While many hospitals and physicians are finding...

Price Transparency May Lower $27 Billion in Healthcare

by Vera Gruessner

Price transparency in the healthcare industry is becoming more and more pertinent and sought after. Research has shown that there is still insufficient price transparency within the medical field...