In early 2020, fifteen healthcare leaders—spanning a wide range of backgrounds from government to industry to academia—converged for a little over a day to discuss a single, pressing issue that affected each of their fields:...
Blue Cross and Blue Shield of Florida (Florida Blue) recently formed a value-based care agreement with Healthcare Outcomes Performance Company (HOPCo), a value-based health outcomes...
Blue Cross & Blue Shield of Rhode Island (BCBSRI) has entered into a global capitation agreement in its Medicare Advantage program, according to a press release which HealthPayerIntelligence...
UnitedHealthcare announced that it will expand a program to advance maternal health equity in for minority communities in North Carolina.
“Access to quality maternal health care will help close...
Humana is transitioning its Kindred at Home home healthcare products to the CenterWell Home Health brand.
The transition entails apparel and other branded material changes from Kindred at Home...
Medicaid fee-for-service beneficiaries who tried to quit smoking cigarettes rarely accessed cessation medication or counseling despite the wide range of cessation treatments that Medicaid covers, a...
Payers can leverage beneficiary surveys, opportunities to share lessons learned, and social services referral platform data in order to assess the return on investment for social determinants of health...
UnitedHealthcare has announced two new initiatives that aim to help adults and children support their vision and eye health by reducing exposure to blue light from digital screens.
The COVID-19...
Priority Health has announced a partnership with Epic and plans to implement the EHR vendor’s payer platform to facilitate patient data exchange with providers, lower healthcare costs, and...
The Medicare Advantage quality bonus program did not lead to any significant improvements in overall performance quality for Medicare Advantage plans, a Health Affairs report found.
CMS introduced the...
States that implemented Medicaid expansion saw reductions in all-cause mortality rates compared to nonexpansion states, a study from the Keck School of Medicine at the University of Southern California...
Blue Cross and Blue Shield of Minnesota (Blue Cross) is funding a hospital partner’s technology and practice support resources in order to transform rural maternity...
Payers face a variety of challenges in expanding nutritional benefits, particularly due to the lack of ability to measure outcomes, but there are ways to navigate this uncertainty, according to a...
Transitioning elderly and disabled Medicaid beneficiaries from fee-for-service Medicaid to a managed care model may lead to improved health outcomes and more than $100 billion of savings for states and...
For certain diseases, some payers implement step therapy protocols that are stricter than clinical and regulatory entities have recommended, researchers found in a Health Affairs study.
“Step...
Outcomes-based contracts continue to be popular for certain therapies as healthcare costs mount, an Avalere study found.
Avalere’s findings draw on survey responses from 51 insurers and pharmacy...
Prescription digital therapeutics (PDTs) coverage remains nascent, as the adoption rate is only at 40 percent among the minority of payers who have familiarity with PDTs, according to a survey that...
UnitedHealthcare (UHC) has provided $175,000 to medical practice UWH of North Carolina to support group prenatal care and boost maternal health outcomes for pregnant people across the state.
UWH of...
Affordable Care Act (ACA) Marketplace coverage for pregnant people before, during, and after pregnancy was associated with higher rates of prenatal care use compared to people who had discontinuous...
In October 2021, Capital Blue Cross strengthened its Type 2 diabetes management efforts by introducing two new apps to its members, apps that could enable them to prevent and potentially reverse the...
