A small fraction of the Medicaid population utilizes non-emergency medical transportation (NEMT) benefits, but for that community of beneficiaries NEMT programs can be indispensable, a MACPAC...
Updated 6/11/2021: This article has been updated with a quote from Blue Cross and Blue Shield of Minnesota's chief medical officer. A previous version included an quote from a partner of Blue...
Wellness programs may influence health behaviors, but demonstrated little impact on healthcare spending, health outcomes, or employment outcomes, a study published in Health Affairs uncovered.
It has...
The American Rescue Plan boosted the federal matching rate (FMAP) for Medicaid home and community-based services (HCBS), thereby increasing federal spending on social determinants of health, according...
After a year of accelerating home healthcare services, payers can build on their coronavirus home healthcare strategies to bolster their home healthcare programs more permanently.
Hospital...
The US Preventive Services Task Force (USPSTF) has made a few preventive care screenings recommendations in recent months that payers should take note of for their preventive care and value-based care...
While some social determinants of health factors such as food security and high-speed internet access have improved in recent years, seniors experienced an increase in factors such as poverty and...
Patient outcomes are significantly worse in cancer patients who do not have insurance compared to insured patients, according to Gerard Silvestri, MD, professor of medicine and a lung cancer...
Artificial intelligence (AI) can shed light on trends within low-risk member populations so that health plans can prevent them from progressing into the high-risk category.
There are a couple of key...
Humana has announced that it will be participating in a CMS traditional Medicare value-based contracting model and will offer coordinated care for traditional Medicare...
Gross margins and medical loss ratios from 2020 may confirm that payer profitability increased during the coronavirus pandemic, according to a brief from Kaiser Family Foundation.
The researchers...
Texan adults are more likely to be uninsured and forgo care due to cost barriers than the average American, according to a new survey from HealthCareInsider that raises concern for healthcare...
Overall, large employers find healthcare costs excessive and that the healthcare spending burden would become unsustainable in the next five to ten years, according to a recent Kaiser Family Foundation...
With numerous combinations of comorbidities and lifestyles at play in the member population with diabetes, payers have a lot to consider when creating or expanding their diabetes management...
Collecting accurate race and ethnicity data is a critical step in moving the healthcare industry towards greater health equity.
Having accurate race and ethnicity data enhances payers’ ability...
Blue Cross and Blue Shield of Minnesota (Blue Cross) announced a value-based kidney care agreement with a DaVita Integrated Kidney Care program for members who have chronic kidney disease or end stage...
Adjusting quality measures for social risk factors can promote health equity, according to expert guidance published in Health Affairs.
As value-based payment programs expand, there is growing...
Most healthcare stakeholders can perceive the impacts of the escalating behavioral and mental healthcare crisis on their own industry segment, but employers have a particularly proximate...
Hispanic and Black children are enrolled in health maintenance organizations (HMO) at higher rates than their non-Hispanic White peers, based on research published in JAMA Network Open that draws...
