3 Strategies for Payers to Improve Member Medication Adherence
Ensuring members’ medication adherence is a step toward decreasing payers’ overall costs and improving patient outcomes. But medication adherence is highly personal territory that can be...Administrative Complexity Ups Spending Despite Value-Based Care
The American healthcare industry unnecessarily spent over $250 billion on tangled administrative complexity, out of the $760 billion to $935 billion that healthcare professionals consider wasteful each...Sponsored Article
How Quality Fits into Value-Based Care, Organizational Improvement
Value-based care reimbursement strategies represent a shift in focus from the quantity of health services delivered to the quality of those services. Highlighting the importance of quality is ingrained...BCBSTX’s New Medical Centers Seek Multicultural Value-Based Care
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...Sponsored Article
Driving Innovation in Provider-Payer Value-Based Care Relationships
Alternative payment models have emerged in recent years as the healthcare industry has shifted its focus from a fee-for-service reimbursement model to value-based care. This transition is commonly...Fast-Tracking Value-Based Insurance Design on Exchange Marketplaces
Believing that having a standard value-based insurance design (V-BID) plan could fast-track the implementation of value-based insurance design principles, a team of researchers from the University of...Cigna and MSK Start Value-Based, Coordinated Cancer Care Program
Cigna and Memorial Sloan Kettering (MSK) Cancer Center are collaborating to provide members with value-based, coordinated cancer care, Cigna announced. “We’re pleased to partner with...CMS Proposes Alternative Payment Models for Chronic Kidney Disease
CMS recently proposed five alternative payment models for chronic kidney disease (CKD) treatments. One model is mandatory and the others are optional. All of the models are in response to the...Proposed Rule to Expand Value-Based Payment in Home Healthcare
On July 11, CMS proposed a rule that would start the transition to value-based payment in the home healthcare field and make a home infusion benefit available to Medicare...UnitedHealthcare Launches Hearing Healthcare Program
UnitedHealthcare (UHC) is launching a hearing healthcare program to combat hearing loss and improve access to quality, affordable hearing aids. The program, titled UnitedHealthcare Hearing, is...What the Healthcare Price Transparency Order Means for Payers
President Trump’s regulation requires healthcare price transparency on treatment costs and price negotiations, the White House announced in a press release on Monday “To make fully...AHIP Launches Project Link to Address Social Determinants
America’s Health Insurance Plans (AHIP) is launching a new initiative to overcome social determinants called Project Link, the organization announced at their 2019 AHIP Institute and...Primary Care Physicians Influence LVC Spending, Studies Show
Studies have found that primary care physicians (PCPs) play a role in increasing low-value care (LVC) expenditures, indicating that payers, policymakers, and healthcare organizations should...Sponsored Article
