Primary Care Services

Wellcare partners with tech company to improve value-based primary care

March 14, 2024 - Wellcare, the Medicare brand of Centene Corporation, has partnered with a technology company to improve access to value-based primary care. The company, Pearl Health, focuses on physician enablement and risk-bearing in value-based care contracts. The multi-year collaboration with Pearl Heath will benefit Medicare Advantage beneficiaries by creating...

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Few Physicians Participate in Both Medicaid and Marketplace Plans

by Victoria Bailey

Less than three in ten primary care physicians participating in Medicaid also participated in an average marketplace network, raising concerns about continuity of care for beneficiaries disenrolled...

Preventive Care Visits Among Medicare Beneficiaries Grew, Study Finds

by Victoria Bailey

The share of primary care visits focused on preventive care nearly doubled between 2001 and 2019, with the steepest growth among Medicare beneficiaries, a Health Affairs study found. Periodic...

Avoidable Hospitalizations Less Common in Medicare Advantage, Study Finds

by Victoria Bailey

Medicare Advantage beneficiaries were less likely to have avoidable hospitalizations than those in traditional Medicare, suggesting that the use of provider networks in Medicare Advantage may reduce...

Blue Cross MA Expands Primary Care Network Amid Provider Shortages

by Victoria Bailey

Blue Cross Blue Shield of Massachusetts (Blue Cross) has added three physician groups to its primary care network to increase member access to care amid provider shortages. Most Blue Cross members...

CA VBID Program Boosted Primary Care Use, Contained Healthcare Costs

by Victoria Bailey

California’s value-based insurance design (VBID) program was associated with a higher probability of primary care use, a lower probability of inpatient admissions, and no change in total costs...

Humana Collab Expands Value-Based Care for Medicare Advantage Members

by Victoria Bailey

Humana has partnered with an independent primary care network to enhance access to value-based care for Medicare Advantage members. The 10-year collaboration with Aledade will allow Humana’s...

Indiana Payer Partners with Provider Org to Boost Primary Care Access

by Victoria Bailey

Physicians Health Plan of Northern Indiana (PHP) is looking to improve primary care access for members by partnering with healthcare provider Premise Health to open a primary care center for clients...

Humana Maintains Primary Care Access for Medicare Advantage Members

by Victoria Bailey

Humana has signed a five-year agreement with ChenMed, solidifying access to in-network, senior-focused primary care for Medicare Advantage members. The agreement continues the decades-long...

Cigna Expands Value-Based, In-Home Primary Care Services in Medicare Advantage

by Kelsey Waddill

Cigna has formed a value-based care partnership with an in-home primary care organization in order to improve quality of care and access to care for Medicare Advantage member, the partners...

Independence Expands Value-Based Care Relationship, Seeks to Boost Primary Care

by Kelsey Waddill

Independence Blue Cross (Independence) announced that it will expand its value-based care relationship with Penn Medicine by selling a minority equity stake in one of Independence’s...

HCSC Employs Virtual Care To Expand Access to Primary Care Services

by Kelsey Waddill

Ahead of 2023 open enrollment, Health Care Service Corporation (HCSC) announced that it will make its virtual care options available to midsize and large employers in two new states in 2023. The...

How Payers Are Increasing Access to Behavioral, Mental Healthcare Services

by Kelsey Waddill

Payers are offering providers and consumers a broad range of services and supports related to mental healthcare and are taking steps to increase access to mental healthcare, according to a survey...

CVS Health Offers Virtual Primary Care Solution to Aetna Members

by Kelsey Waddill

CVS Health will be offering a virtual primary care solution to its Aetna members and CVS Caremark clients. The solution will connect members to primary care services including mental healthcare and...

How Payers Can Move Providers Along Value-Based Care Continuum

by Kelsey Waddill

Payers can offer essential support to providers starting their journey through the value-based care continuum, while further research on value-based care in Medicare Advantage can help inform payers about best practices in this...

AHIP: Next Steps Toward Primary, Behavioral Healthcare Integration

by Kelsey Waddill

AHIP called on providers and policymakers to join payers in their efforts to integrate behavioral healthcare and physical healthcare in an issue brief on the subject. The payer organization laid out...

30% of Seniors Still Experience Impacts of Foregone, Delayed Care

by Kelsey Waddill

Senior members might continue to see canceled or delayed care even as coronavirus cases decline, a trend which has had significant impacts on payer revenues and spending in 2020 and 2021, a report from...

Applying Whole Person Care to Digital Care for Underserved Members

by Kelsey Waddill

Payers have a significant role to play in ensuring that underserved populations receive whole person care, particularly among Medicaid beneficiaries. First, they can serve as a bridge between Medicaid beneficiaries and their primary care...

Humana Expands Value-Based Care to Medicare Advantage Members in OR

by Victoria Bailey

Humana has partnered with Vancouver Clinic to expand value-based primary care services to Medicare Advantage members in Oregon. The primary care practice, Enliven by Vancouver Clinic, will be...

Teladoc, Trustmark Announce Virtual-First Health Plan

by Kelsey Waddill

Trustmark Health Benefits (Trustmark), the employer-sponsored health benefits arm of Trustmark Mutual Holding Company, has announced that it will partner with Teladoc to form a virtual-first health...

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