Population Health Management

UHC Supports Health Equity for Disabled Members Through Program Investments

October 19, 2022 - UnitedHealthcare invested in an organization that promotes health equity for individuals with disabilities. The payer put $5 million toward The Multi-Assistance Center (MAC) at Morgan’s Wonderland. Morgan’s Wonderland is a theme park designed to serve people with special needs. The MAC answers medical and non-medical demands. Its...

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Humana Outlines Social Determinants of Health Industry Progress

by Kelsey Waddill

Payers, providers, and policymakers have taken a variety of approaches to social determinants of health data collection and interventions, according to an issue brief from Humana. The brief provided...

Humana Announces Changes To Veteran Population Health Management

by Kelsey Waddill

Humana has announced new efforts to improve veteran population health management. The payer will introduce the veteran community into its Bold Goal communities, giving them the same kind of population...

How AI Supports Low-Risk Member Identification, Care Management

by Kelsey Waddill

Artificial intelligence (AI) can shed light on trends within low-risk member populations so that health plans can prevent them from progressing into the high-risk category. There are a couple of key...

Payers Fund Community Health Centers to Aid Population Health

by Kelsey Waddill

By directing funds towards health centers that serve vulnerable communities, payers can reinforce population health management strategies in those areas, as exemplified in CareSource’s recent...

Medicaid Expansion May Boost Homeless Individuals’ Access to Care

by Kelsey Waddill

Medicaid expansion might ensure that homeless individuals receive access not only to healthcare coverage, but also to the care that they need, a Health Affairs study found. “Our results provide...

How to Rethink Population Health Management for Rare Disease Care

by Kelsey Waddill

About four and a half years ago, Chris Carlson, senior vice president of customer experience and complex health solutions at UnitedHealth Group, had a significant conversation with his colleague about...

Medicare Value-Based Contracting Model Emphasizes Care Coordination

by Kelsey Waddill

CMS has introduced a new Medicare value-based contracting model that encourages greater care coordination and requires participants to take full risk for Medicare fee-for-service beneficiaries based on...

Medicaid Expansion Improves Access to Care, Population Health

by Hannah Nelson

States that did not opt into Medicaid expansion under the Affordable Care Act (ACA) experienced worse emergency access to acute care hospitals compared to states that did, according to recent...

The Role of Whole Person Care in Population Health, Telehealth

by Kelsey Waddill

As the healthcare environment faces major changes, payers may face challenges in maintaining their focus on whole person care across all strategies. Given the influence of the pandemic, payers may...

Top 5 Social Determinants of Health Domains for Payers to Address

by Kelsey Waddill

There are five social determinants of health domains, according to the Office of Disease Prevention and Health Promotion (ODPHP) Healthy People 2030 website. While certain domains will at times require...

How COVID-19 Policies May Affect Medicare Advantage Star Ratings

by Kelsey Waddill

As the coronavirus pandemic continues to rage across the US, the payer industry must consider how the current environment will affect Medicare Advantage Star Ratings for years to come. The industry may...

4 Population Health Strategies Payers Use for Back to School

by Kelsey Waddill

As fall approaches and the coronavirus continues to affect daily life, parents must decide whether and how to send their children back to school and payers must consider population health strategies...

What Types of Health Plans Enroll More Seriously Ill Members?

by Kelsey Waddill

Seriously ill populations tend to enroll in health plans that are less restrictive and that boast broader networks, a recent American Journal of Accountable Care (AJAC) study found. The AJAC study...

6 COVID-19 Social Determinants of Health Payers Pivoted to Meet

by Kelsey Waddill

Payers are finding new ways to tackle social determinants of health as new challenges emerge, America’s Health Insurance Plans (AHIP) explained. Much of the common knowledge that payers have...

How Payers Scale Social Determinants of Health Goals

by Kelsey Waddill

Payer social determinants of health strategies are moving into a new phase, as Humana’s latest Bold Goal report demonstrated. Over the past few years, payers have gained deeper knowledge about...

BCBS Deal Collaborates to Gather Population Health Data

by Kelsey Waddill

Blue Cross Blue Shield of Rhode Island (BCBRI) is collaborating with behavioral healthcare provider partners to gather and leverage population health data. The payer awarded $422,000 to a behavioral...

Addressing Social Determinants of Health Requires Population-Based Data

by Emily Sokol, MPH

At Community Health Plan of Washington, population health management tools allow the organization to integrate social determinants of health data across its network of community health...

How Population Health Tactics Fortify COVID-19 Member Engagement

by Kelsey Waddill

As the healthcare system reels from the coronavirus, payer success in member engagement relies in part on effective implementation of population health management strategies. For more coronavirus...

UnitedHealth Gives $5M to Support Healthcare Workers During COVID-19

by Jessica Kent

The United Health Foundation is partnering with the CDC Foundation, Direct Relief, and the American Nurses Foundation to support the nation’s healthcare workers during the COVID-19 pandemic. For...

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