High prescription drug spending has racked the American healthcare system’s cost trends for decades.
Prescription drug spending will be one of the major factors influencing the 2020 medical...
Humana’s value-based care models in Medicare Advantage helped lower emergency room admissions and, in turn, boosted savings for Medicare Advantage members, according to the payer’s recent...
CVS Health’s Aetna is using home healthcare to address chronic disease management for those with multiple chronic diseases, the payer announced.
Aetna will partner with Landmark Health...
Blue Cross and Blue Shield of Minnesota (Blue Cross) struck a six-year value-based contract with Allina Health that focuses on quality improvement and cost savings through care coordination,...
Risk factors for colorectal cancer are growing more prevalent even in younger age groups, meaning payers need to improve colorectal cancer preventive care, a Blue Cross Blue Shield Association (BCBSA)...
Preventive screenings are now shifting to the in-home setting through in-home screening kits, as payers like Humana innovate ways to carry on primary care and chronic disease prevention services...
Updated 7/7/2020: This article has been updated to reflect that CitiusTech is solely responsible for the “COVID-19 Impact on Quality Management” survey. A previous version associated...
The Centers for Disease Control and Prevention (CDC) estimates that 90 percent of national healthcare spending goes toward chronic disease management and mental healthcare, which means that strong...
As the new strain of coronavirus, COVID-19, spreads across the US, payers are using partnerships and telehealth to help assess and address the virus.
For more coronavirus updates, visit...
Cooperation with providers and data sharing are key to success in pediatric value-based care, Horizon Blue Cross Blue Shield New Jersey (BCBSNJ)’s 2018 care quality results show.
“Horizon...
Payers are using coordinated care and precision medicine to make diagnoses more quickly and ensure a strong treatment plan for severe and chronic disease management.
Early detection of chronic and...
America’s Health Insurance Plans (AHIP) submitted a statement to the House Energy and Commerce Committee opposing current single-payer proposals in the United States.*
“Americans are...
High healthcare costs are keeping young adults from saving for the future, recent data from CITE Research, commissioned by Lively, shows, making the case for health savings accounts...
Blue Cross Blue Shield Association (BCBSA) shares reports on claims data via the Health of America platform in the hopes that the information might lead to better personalized treatment plans.
The...
Blue Cross and Blue Shield of Texas (BCBSTX) opened the first of ten medical centers with Sanitas Medical Center (Sanitas), the payer announced last week, with an emphasis on their pursuit of...
A partnership between WellCare and Kentucky Homeplace showed a reduction in emergency room utilization and cost of care.
The partnership aimed to help over 2,000 residents of rural Kentucky with...
Specialty drugs, which often receive the brunt of healthcare spending deprecation, may be able to decrease healthcare spending by $4 billion per year if administered at the right locations, a...
In the midst of the transition to value-based care, healthcare payers are looking for key strategies to keep their populations healthier at a lower cost. To that end, most have realized that a...
CVS Health is expanding its diabetes care model to incorporate preventive care and treat hypertension.
This move comes after CVS Health has reported considerable success with the first iteration of...
Anthem Blue Cross (Anthem) Medicare Advantage members in California will now be allowed to purchase over-the-counter products at CVS Pharmacy stores using their health plan allowance.
The partnership,...
