Patient Outcomes

Apple to Launch Healthcare, Wellness Clinics for Employees

by Thomas Beaton

Apple is launching a new healthcare venture, called AC Wellness, that will deliver healthcare and wellness services to the company’s employees, according to major news outlets. The health and...

Employers, Employees Face Disconnect Over Wellness Programming

by Thomas Beaton

More than half of employers believe that their wellness programming is effective for improving health and reducing spending, but only a third of their employees think the same thing, according to a new...

Payer Housing Partnership Addresses Social Determinants of Health

by Thomas Beaton

Health Partners Plans (HPP) and two community programs in Philadelphia announced a partnership to address housing-related social determinants of health by connecting homeless individuals to healthcare...

NCQA Seeks Stakeholder Comments on Updated HEDIS Measures

by Thomas Beaton

NCQA is seeking health plan, provider, and related stakeholder public comments to weigh in on updated HEDIS measures and the implementation of new measures related to chronic disease management. NCQA...

Member Engagement, Payer Spending Lead Top 10 Stories of 2017

by Thomas Beaton

The 2017 news cycle was a constant flurry of political and financial developments for payers. From the turbulent efforts to repeal and replace the ACA in the House and Senate to challenges with member...

Integrated Care Model Lowers Health System Medical Costs

by Thomas Beaton

Cigna’s integrated care model partnership with Texas-based Catalyst Health helped reduce the health system’s total medical costs to 5.6 percent below industry averages, the organizations...

61% of Employees Dissatisfied with Employer Wellness Programs

by Thomas Beaton

Fifty-two percent of employers believe their wellness programs improve their employee’s health behaviors, but only 32 percent of employees agree, according to a new survey from Willis Towers...

Ridesharing Benefit May Help Payers Improve Patient Engagement

by Thomas Beaton

Payers looking to help members overcome negative social determinants of health, such as transportation issues, may be able to offer beneficiaries a ridesharing benefit to improve patient...

Most High-Deductible Health Plan Consumers Lack Financial Management

by Thomas Beaton

Less than half of high-deductible health plan (HDHP) consumers engage in positive financial management tasks such as negotiating costs for healthcare services or saving for future healthcare expenses,...

CVS Caremark Provides Real-Time Benefits Data to Pharmacies

by Thomas Beaton

CVS Caremark, the pharmacy benefit manager (PBM) of CVS Health, will provide pharmacies and prescribers with real-time benefits data on patients as a way to reduce payer and patient drug costs, the...

Health Plan Partnership Aims to Boost Care for Native Americans

by Thomas Beaton

A merger between Tribal First (a subsidiary of Alliant Specialty Insurance Services) and American Indian Health Services (AIHS) will combine two national leaders in providing quality care to Native...

How Payers Can Improve the Value of Small Business Health Plans

by Thomas Beaton

Payers offering insurance plans for the employer market need to provide flexible benefits and cost-saving strategies that create value for small businesses. Small businesses are an excellent market...

Humana Adds Former ONC Chief Karen DeSalvo as Board Member

by Thomas Beaton

Former National Coordinator for Health IT and Assistant HHS Secretary Karen DeSalvo, will join Humana’s board of directors, the payer announced in a press release. Humana believes that the...

Payer Housing Programs Address Social Determinants of Health

by Thomas Beaton

Addressing housing insecurity, a commonly challenging social determinant of health (SDOH), may help health plans transition at-risk beneficiaries to stable housing situations while lowering spending on...

11 Healthcare Payers to Enhance Substance Use Treatment Access

by Thomas Beaton

Executives from 11 healthcare payers have pledged to enhance substance use disorder (SUD) treatment access and offer provider incentives to more effectively address opioid misuse and other substance...

Payer Strategies for Improving Member Medication Adherence Rates

by Thomas Beaton

Payers are spending billions of dollars annually on medications that aren’t improving the health outcomes, with financial and health literacy proving to be the most common barriers to...

3 Value-Based Pharmaceutical Contracting Options for Payers

by Thomas Beaton

Value-based pharmaceutical contracting offers health payers the option to lower drug prices while improving patient outcomes. These contracts come in several different forms, according to Dr. Surya...

AHIP Launches Initiative To Combat Nationwide Opioid Crisis

by Thomas Beaton

AHIP launched the Safe, Transparent Opioid Prescribing (STOP) Initiative to support health plans’ widespread adoption of clinical guidelines for pain care and opioid prescribing, and combat the...

Anthem Adds Home Meal Delivery to Medicare Advantage Plans

by Thomas Beaton

Anthem is offering home meal delivery service to its post-discharge Medicare Advantage plan members in  in several states including Georgia, Kentucky, Missouri, and Wisconsin the payer...

Payers Driving Value by Promoting Connected Care Models

by Thomas Beaton

As payers vie to remain competitive in commercial insurance markets, they must be able to effectively manage consumer costs while providing beneficiaries the best possible healthcare experience now and...