AMA Defends Affordable Care Act’s Preventive Care Coverage Requirement
The American Medical Association (AMA) defended the Affordable Care Act’s preventive care coverage requirement in an amicus brief in the case of Braidwood Management Inc, et al v Becerra. The...ACA Preventive Care Coverage Requirement Boosts Access to Care
The preventive care coverage requirement under the Affordable Care Act (ACA) helped improve no-cost access to care, including cancer screenings, vaccines, and contraceptive care, according to an Urban...Key Preventive Care Services Recommendations from USPSTF in 2022
In the first half of 2022, the US Preventive Services Task Force (USPSTF) has issued several recommendations intended to promote effective preventive care services. The USPSTF recommendations may more...Payer Targets Health Equity in Colorectal Cancer Prevention
Independence Blue Cross (Independence) is partnering with a nonprofit dedicated to colorectal cancer awareness and research in order to improve preventive care and health equity for colorectal...Payer, Walgreens Partner to Improve Equity, Care Coordination
Blue Shield of California (Blue Shield) has partnered with Walgreens to launch more Walgreens Health Corner locations to reduce care disparities and facilitate better care coordination for members with...Top Challenges, Benefits of At-Home Coronavirus Testing Coverage
In the first quarter of 2022, payers witnessed significant changes in at-home coronavirus testing coverage with mixed reactions. These changes—and the influence of the coronavirus pandemic on preventive care—present both...Obstacles to Covering Precision Medicine Multicancer Screenings
While precision medicine multicancer screening tests could blaze a path to lower cancer-related costs and earlier cancer detection, these precision medicine tools face many hurdles to acquiring payer...9 Employer Best Practices for High Deductible Health Plan Design
Employers are exploring ways to promote effective high deductible health plan benefits utilization among members, as noted in a report from the National Pharmaceutical Council (NPC) and...HRSA Expands Preventive Care Coverage Under ACA for Women, Children
The Health Resources and Services Administration (HRSA) has updated the preventive healthcare guidelines under the Affordable Care Act (ACA) to expand low-cost coverage of preventive care services for...Dual Eligible Beneficiaries Prefer Medicare Advantage Over FFS
Dual eligible beneficiaries were more likely to choose a Medicare Advantage plan over a fee-for-service Medicare plan, a study commissioned by Better Medicare Alliance (BMA) found. To understand the...Humana Shares 2020 Medicare Advantage Value-Based Care Results
Humana’s Medicare Advantage value-based care efforts helped improve hospitalization rates and preventive care during the coronavirus pandemic, the payer shared in its value-based care...Centene Highlights Ways to Improve Mental Healthcare for Children
The mental and behavioral healthcare crisis is striking children and adolescents, but payers can take steps to protect mental healthcare for children as well as for the adults who are responsible for...Sponsored Article
A Phased Approach to Next-Generation Member Engagement
At our company, we define next-generation member engagement in terms of what health plans need to meet members where they are with a personalized experience. The first component is a holistic,...Expanding Social Determinants of Health Benefits Among Public Payers
HHS needs to expand the list of social determinants of health that public payers can cover and hold public payers accountable to covering preventive services that can help address social determinants...Behavioral Health, Physical Health Worsen Among Women, Children
While many health behaviors in women of reproductive age and children have improved in recent years, behavioral health and physical health have declined and uninsurance rose, according to a...Medicaid Expansion May Improve Maternal Health Outcomes, Coverage
Policymakers may be able to improve maternal health and healthcare coverage around the time of pregnancy through Medicaid expansion, according to a recent Health Affairs report. The researchers used...Sponsored Article
How Change Management Leads to Successful Member Engagement
Health plans can implement a digital platform to improve member engagement, but its effectiveness depends greatly on its adoption and use by staff. Therefore, payers must pay close attention to change...Sponsored Article
