Blue Cross Blue Shield Association (BCBSA) announced a national health equity strategy that focuses on measuring racial health disparities, forming community and clinical partnerships, scaling...
While UnitedHealth Group’s Q1 total care activity came in under seasonal baselines due to low levels of outpatient care, revenues grew 9 percent, payer executives announced during UnitedHealth...
CVS Health and Aetna announced a health plan set to increase care coordination and healthcare access while lowering patient out-of-pocket costs for Southern Californians.
The Aetna Connected Plan with...
On the path to value-based care, Blue Cross and Blue Shield of North Carolina (Blue Cross NC) has announced a new long-term plan to improve community health outcomes by addressing social determinants...
MVP Health Care and the University of Vermont (UVM) Health Network plan to form a Medicare Advantage plan with an emphasis on wellness, the non-profit payer and academic healthcare system...
Cigna and Oscar Health are extending the footprint of their small business health plan into California, partially in response to the economic fallout of the coronavirus pandemic, the companies...
As new cases of COVID-19 peaked in late 2020, most physicians reported that payers had either reinstated prior authorization policies or never relaxed policies to begin with, based on an American...
A digital therapeutic weight loss program led to major medical cost savings, according to a Rally Health Inc. study that points to wellness programs as cost-effective strategies to tackle the obesity...
To ensure COVID-19 vaccine access for homebound individuals, the Commonwealth of Massachusetts has partnered with the Commonwealth Care Alliance (CCA), a health plan that says it has proven best...
By directing funds towards health centers that serve vulnerable communities, payers can reinforce population health management strategies in those areas, as exemplified in CareSource’s recent...
Prominent healthcare organizations have announced their support of new legislation that would allow for audio-only telehealth services to apply toward Medicare Advantage (MA) risk adjustment.
In a...
In order to combat misinformation around the coronavirus vaccines, payers have been taking an active role in promoting the vaccines and educating the public on their benefits to boost coronavirus...
The Medicare Advantage cost burden—or the number of individuals for whom healthcare costs absorb 20 percent or more of their income—is lower than the fee-for-service Medicare cost burden...
Updated 4/1/2021: This article has been updated to say that the League has 52 community health centers in Massachusetts. A previous version mistakenly stated that the health centers were located...
After collaborating for 18 months on streamlining data exchange between health plans, patients, and providers, Humana and Epic are moving into the next phase of their partnership which involves...
Anthem has announced plans to acquire myNEXUS, Inc (myNEXUS) to provide a higher quality of home healthcare services for seniors.
Assuming the closing conditions and procedures continue without any...
Electronic prior authorizations may improve quality of care by increasing the speed of care delivery, decreasing provider burden, and boosting patient experience, according to a study conducted on...
Payers should prepare for the payer price transparency rule to go into effect by building clear communication paths with members, reassessing their contracting processes, and asking themselves a couple...
One-third of adults who began dialysis with an employer-based group health plan (EGHP) switched to Medicare before the coordination period finished, resulting in $3 billion additional Medicare costs...
