Insurance coverage mandates for a certain type of breast cancer screening may drive up utilization and lower costs, according to a study published in JAMA Network Open.
Digital breast tomosynthesis...
Large employers are investing more in their wellness program design in 2022 and their programs revolve around hybrid work environments, job satisfaction, and equity, the Business Group on Health found...
Employee mental healthcare spending rose, and employer mental healthcare spending fell after employers transitioned their workers from preferred provider organizations to high deductible health plans,...
MedPAC’s March 2022 recommendations to Congress for Medicare Advantage payment policies have roused reactions from payers, specifically Better Medicare Alliance.
At the beginning of the report...
The National Committee for Quality Assurance (NCQA) has awarded Centene the Innovation Award for Health Equity for the company’s Health Equity Improvement model.
“Advancing health equity...
The widespread nature of medical debt in the US indicates that there are holes in the health insurance system, researchers from the Peterson-Kaiser Family Foundation (KFF) Health System Tracker...
Payer organizations such as AHIP and the Alliance for Community Health Plans (ACHP) have raised some concerns in their comments on the advance notice of methodological changes for Medicare Advantage...
The Blue Cross Blue Shield Association (BCBSA) has partnered with a nonprofit generic drug company to help increase access to low-cost insulin for members living with diabetes.
Along with several...
Employer-sponsored health plan dialysis is more expensive than Medicare, meaning that pushing members from Medicare to private payer coverage may actually increase their healthcare spending on dialysis...
Humana is transitioning its Kindred at Home home healthcare products to the CenterWell Home Health brand.
The transition entails apparel and other branded material changes from Kindred at Home...
Around 20 percent of commercial health plan members disenrolled from their plans each year, but a third of those members returned to the plan within five years, suggesting that payers may benefit from...
By shifting plan design, formulary design, drug pricing, drug availability, and sites of care and drug administration, employers can create a health plan that is more accommodating for...
Humana has partnered with the University of Louisville (UofL) to help promote health equity and boost health outcomes for underserved communities through the university’s Health Equity Innovation...
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...
CareFirst BlueCross BlueShield (CareFirst) has awarded $1.76 million to local health organizations to help address the diabetes epidemic and the social determinants of health that drive the chronic...
Despite the many challenges that can hinder progress on social determinants of health, employer social determinants of health strategies can profoundly impact employees’ families and communities,...
Payers have been extending their consumer-driven health plans, also called consumer-directed health plans or CDHPs, as a way to encourage health plan enrollment and save on healthcare costs.
Many...
AHIP has shared its goals and priorities for upholding health IT security and privacy around consumer data in two press releases issued by the AHIP board of directors and the organization’s chief...
Blue Cross and Blue Shield of Texas (BCBSTX) has launched a grant cycle for 2022-2023 in which the payer will support social determinants of health, health and wellness, and health equity initiatives...
Major payers have released their earnings reports from the fourth quarter of 2021, which revealed the continued impacts of the coronavirus pandemic, highlighted mergers and acquisitions deals, and made...
