Blue Shield California (BSC) recently announced its new platform Wellvolution and in doing so it emphasized payers’ movement away from solely brick-and-mortar wellness programs to...
Chronic diseases are both costly and prevalent, with the healthcare industry shelling out billions each year to manage and treat these conditions. Although illnesses like diabetes, heart disease, and...
CMS is streamlining the Medicaid review process and making it more transparent, efficient, and less burdensome in an effort to speed up approval times for state programs.
“At CMS, we are making...
Participating in a medically tailored meal delivery program was associated with fewer inpatient admissions and lower healthcare costs, demonstrating the potential for these programs to improve health...
The Department of Veterans Affairs (VA) has partnered with Cigna to improve patient safety and care quality for chronic pain patients at risk for opioid abuse.
The partnership aims to educate...
Short-term wellness programs prove useful in promoting positive health behaviors among employees, but these programs are failing to have a positive effect on healthcare costs, according to a study...
From fee-for-service to managed care, Medicaid programs are seeking to address the social determinants of health (SDOH) for a broader population of enrollees in order to achieve better health outcomes,...
Utilization management (UM) requirements are likely delaying cancer care and resulting in poorer outcomes for cancer patients, according to a survey conducted by Public Opinion Strategies and Hart...
CMS has approved Maryland’s section 1115 waiver application for a demonstration to expand access to diabetes care, substance abuse services, and other healthcare services for Medicaid...
Seventy-one percent of employers with 100 or more employees are either actively integrating or considering integrating their medical, dental, vision, and pharmacy benefits under their health and...
Pennsylvania Attorney General Josh Shapiro has filed a petition in Commonwealth Court to modify the consent decrees that govern the relationship between UPMC and Highmark Health, two of western...
Blue Cross Blue Shield (BCBS) Institute and Health Care Services Corporation (HCSC) have launched a health food delivery service that will help reduce food insecurity and health disparities for plan...
The National Committee for Quality Assurance (NCQA) is seeking comments from health plans, purchasers, consumers, and other stakeholders on proposed updates to the Healthcare Effectiveness Data and...
Steward Health Care has become a founding member of Civica Rx, a collaborative, non-profit drug company with the mission to reduce drug costs and increase the supply of life-saving generic...
BlueCross BlueShield of Arizona’s (BCBSAZ) shared savings program has reduced 30-day hospital readmission rates by 26.3 percent while generating shared savings for providers..
BCBSAZ also...
The Medicare Diabetes Prevention Program (MDPP) may not fully cover provider costs needed to administer classes and other programs to prevent diabetes among Medicare members, says a new report from the...
Telehealth offers a cost-effective way to improve member satisfaction with benefits and support meaningful chronic disease management, according to a new report from AHIP and the Coalition to Transform...
Adopting new payment models, engaging in targeted risk scoring, and improving prior authorization processes may help payers address medication-non adherence among members with mental health concerns,...
A commercial shared savings program equipped with the right leadership, clinical insights, and comprehensive care strategies can help payers save significantly on healthcare costs and produce...
Highmark BlueCross BlueShield has saved $260 million in avoidable care costs by using value-based reimbursement and provider performance standards to hold healthcare organizations accountable for...
