Value-Based Care News

How Payers Can Calm Member Fears, Push Virtual Care Adoption

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As the healthcare landscape is becoming more digitized, payers can take steps to prevent members from falling back into old, non-digital forms of care, a recent Accenture report highlighted. The...

How to Assess Potential COVID-19 Employer-Sponsored Insurance Loss

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Coronavirus-related employer-sponsored insurance losses could be loser than initially expected, although it’s still unclear due to a lack of definitive data, according to a report from the Robert...

4 Population Health Strategies Payers Use for Back to School

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As fall approaches and the coronavirus continues to affect daily life, parents must decide whether and how to send their children back to school and payers must consider population health strategies...

How COVID-19 Affected Member Engagement in Wellness Programs

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The coronavirus pandemic may be having an effect on Americans’ exercise life, a recent UnitedHealthcare survey discovered, which may in turn impact payer wellness programming to meet employee...

Top 4 Recent Health Payer Innovative Consolidations, Partnerships

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Although not as active as prior years due to the coronavirus pandemic, the landscape of payer dealmaking continues to show signs of life through innovative consolidations and partnerships. Payers...

Payers Redesign Referral Networks for Social Determinants of Health

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As Blue Cross and Blue Shield of Kansas City (Blue KC) relied on its social needs referral network to meet regional social determinants of health demands during the coronavirus pandemic, the payer...

Payers Have Various Strategies for COVID-19 Treatment Cost-Sharing

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While by and large patients were under the same waivers for coronavirus testing, payers have implemented a broad range of strategies to handle coronavirus treatment cost-sharing for the long term, a...

Aetna, Cleveland Clinic Form Low Cost, Narrow Network Health Plan

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CVS Health’s Aetna has formed a new partnership with Cleveland Clinic which involves a new narrow network health plan and new provider programs, the payer and provider announced. “As part...

How Employers Are Accelerating Virtual Care, Telehealth Adoption

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Employers are emphasizing virtual care and telehealth in their healthcare benefit and care delivery strategies during the coronavirus pandemic, a recent survey by the Business Group on Health...

Payer Value-Based Care Program Ups Savings, Provider Participation

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A value-based care program from Blue Cross and Blue Shield North Carolina (Blue Cross NC) saw cost savings and quality improvement and increased provider participation in its first year, the payer...

How Payers Use Whole Person, Palliative Care to Address Serious Illness

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Payers can play a significant role in decreasing the expense and complexity of serious illness care for patients through whole person care and palliative care, a study from America’s Health...

Rewards, Cash-Back Programs Incentivize Lower Healthcare Spending

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Payers can reduce unnecessary healthcare spending by incentivizing consumers to choose lower cost healthcare providers, a study from the Pioneer Institute focusing on Massachusetts-based payers...

Empowering Member Decision-Making in Chronic Disease Prevention

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Blue Shield of California’s latest partnership focuses on empowering member decision-making for better chronic disease prevention and management, specifically for chronic kidney...

Key Payer Strategies to Improve Colorectal Cancer Preventive Care

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Risk factors for colorectal cancer are growing more prevalent even in younger age groups, meaning payers need to improve colorectal cancer preventive care, a Blue Cross Blue Shield Association (BCBSA)...

Commercial High Deductible Plans May Not Impact Member Outcomes

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Contrary to expectations, there may not be a correlation between deductible costs and member outcomes for commercial high deductible plans, according to a study published in JAMA Open Network. The...

Payers See Low Employer Satisfaction, Provide Limited Support

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Employers are largely underwhelmed by payer efforts in a variety of areas including value-based care payment reform, resulting in low employer satisfaction rates, according to a survey from The...

How Employers, Payers Can Partner through the Workplace Transition

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More than six in ten employers said that they would be partnering with their healthcare payer in the workplace transition back to the office, an Optum survey found. The survey revealed that only 16...

Digital Wellness Program Saw High Member Engagement After COVID-19

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Updated 7/22/20: This article has been updated to reflect that Wellvolution is a Blue Shield of California program. A previous version said Blue Shield of California partnered with...

Supporting Safety Net Providers Through Value-Based Payments

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At the beginning of the coronavirus outbreak, many healthcare organizations halted elective procedures. While this helped increase hospital capacity for patients with coronavirus, it also took a...

How to Manage Chronic Disease Through Technology, Member Trust

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Payers expend billions every year on type 2 diabetes in the US, but the programs that are intended to help members manage chronic disease are not working, charged Amy Meister, DO, chief executive...