Telehealth

Oscar Health Product Gives Members Free Virtual Care, Telehealth

by Kelsey Waddill

Oscar Health has introduced a new insurance product, Virtual Primary Care, that aims to provide members with access to free virtual care and telehealth services. “Virtual Primary Care is the...

Payers Can Use Telehealth to Increase Convenience for Members

by Kelsey Waddill

As payers lean more heavily on remote care, consumers stressed the need for greater convenience in care delivery and prefer to turn to telehealth and digital solutions, in part, as the answer,...

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...

4 Health Benefits That Are Valuable to Small Businesses

by Kelsey Waddill

Business decision-makers on the small group health insurance market are prioritizing health insurance benefits and reconsidering plans with which they currently have contracts, a recent survey by Cigna...

Telehealth May Help Payers Control Uncertain Healthcare Spending

by Kelsey Waddill

Mental healthcare utilization and specialty drug spending will increase healthcare spending in 2021, but this will be counterbalanced to some degree by widespread telehealth adoption and narrower...

How Payers Can Improve Member Engagement by Partnering with Members

by Kelsey Waddill

Payers have continued to see low consumer satisfaction with member engagement throughout the coronavirus pandemic, as plans scored an overall satisfaction score of 719 out of 1,000, a recent JD Power...

How To Scale A Telehealth Strategy: Pilots, Providers, and Payment

by Kelsey Waddill

Updated 6/18/2020: The new Blue Shield of California initiative is for Blue Shield of California members. A previous version of this article said the initiative served Blue Cross Blue Shield...

COVID-19 Spotlights 3 Payer Telehealth Expansion Challenges

by Kelsey Waddill

Due to the coronavirus, telehealth utilization is soaring. Some payers have seen their telehealth utilization increase by 50 times their typical levels within a couple of months. Payers and providers...

Payers Support Dental Partners With Stipends, Boost Teledental Care

by Kelsey Waddill

Payers are supporting struggling dental partners directly through stipends and by covering teledental healthcare options, as in Humana’s recent decision to offer dentists additional funding. In...

4 Payer Data Points That Demonstrate Behavioral, Mental Care Parity

by Kelsey Waddill

Henry Harbin, MD, psychiatrist and advisor at The Bowman Family Foundation, and his colleagues are calling on health plans to start being more transparent about provider network behavioral and mental...

Beyond COVID-19: Telehealth, Partnerships, Member Engagement

by Kelsey Waddill

While the coronavirus pandemic which gripped the nation in March 2020 is still in force, payers are beginning to look to the future as the nation emerges from crisis mode. Many uncertainties still hang in the air regarding the trajectory...

MA Risk Adjustment Should Include Audio-Only Telehealth Diagnoses

by Kelsey Waddill

Audio-only diagnoses should be factored into Medicare Advantage risk adjustment, Better Medicare Alliance (BMA) stated in a letter to CMS which HealthPayerIntelligence received by email. “We...

COVID-19 Healthcare Spending Hinges On Hospitalization Rates

by Kelsey Waddill

As payers setting rates for 2021 seek greater clarity on coronavirus costs, experts warned in a recent Health Affairs article that the direct medical COVID-19 healthcare spending could range from...

Audio-only Telehealth Coverage Essential During COVID-19 Outbreak

by Emily Sokol, MPH

The coronavirus pandemic sparked a rise in telehealth use. Video and audio visits allow patients to connect with their providers virtually, eliminating the risk of a clinic visit. Meanwhile, remote...

CMS Expands Telehealth, Rural Plan Options for Medicare Advantage

by Kelsey Waddill

CMS has finalized changes to Medicare Advantage and Medicare Part D telehealth policies and supplemental chronic disease management benefits. The agency has also expanded Medicare Advantage for rural...

Mental Health Visits Take Majority of 1M Payer Telehealth Claims

by Kelsey Waddill

Blue Cross Blue Shield of Massachusetts (“Blue Cross”) has seen a boom in telehealth visits, particularly to serve mental healthcare needs, the company announced. The payer saw the number...

Centene Emphasizes MA Wellness Care, Waives Healthcare Costs

by Kelsey Waddill

Centene Medicare Advantage members will have free access to primary care, behavioral healthcare, and telehealth care through December 31, 2020, the company announced. This comes as a part of payer...

8 Ways Payers Can Support Provider Partners During Coronavirus

by Kelsey Waddill

In the face of coronavirus, payers have a unique opportunity to show their support for provider networks in a tangible way. For more coronavirus updates, visit our resource page, updated twice daily...

Medicaid Spending, Enrollment Exceed Projections Due To COVID-19

by Kelsey Waddill

States are facing higher Medicaid spending and higher enrollment than expected in 2020 due to the coronavirus, and that impact could continue into the following year, a Kaiser Family Foundation (KFF)...

Payers Offer Premium Credits for Cash-Strapped Members, Employers

by Kelsey Waddill

Surplus funds that would normally go toward nonessential health services will instead be used to extend premium credits and waive cost-sharing for hard-hit populations, Priority Health announced. For...