Residents of western New York will have access to the region’s first behavioral healthcare provider group with a value-based reimbursement arrangement, BlueCross BlueShield of Western New York...
Blue Cross Blue Shield of Massachusetts (Blue Cross) is expanding its value-based care model into its dental plan through value-based contracting with the dental provider group 42 North.
In 2019,...
Priority Health, the second largest health plan in the state of Michigan, will financially offset the cost to providers who use the Centering Healthcare Institute’s (CHI) CenteringPregnancy...
Children enrolled in Medicaid and exposed to an integrated care management program experienced a decrease of 0.39 monthly hospital admissions and 2.20 monthly bed-days per 1,000 children, compared to...
More Medicare beneficiaries are accessing dental, vision, and hearing coverage through Medicare Advantage, but their plans are not getting adequate financial protections from out-of-pocket costs for...
While access to care progress has stalled nationwide, payers can continue to move it forward within their own businesses by addressing four key barriers.
Uninsurance is dropping, yet access to care...
Data sharing, social determinants of health, and simpler language are common priorities as payers seek to strengthen and expand their consumerism strategies, the tenth annual 2020 Industry Pulse Report...
The industry’s transition into value-based care is characterized by a focus on data and patient centered care. By driving strong population health management, payers can excel in this value-based...
Three in four adults would not support a federal regulation that improved healthcare price transparency if the rule raised the cost of health insurance premiums, according to a new Morning Consult...
The Humana Foundation announced it is investing $7.6 million in eight communities across the southeastern United States to address social determinants of health (SDOH), according to a recent press...
Blue Cross and Blue Shield of North Carolina and New York City startup Quartet have announced a partnership to implement a new value-based payment model for mental healthcare.
The...
Payers can no longer ignore the social determinants of health that impact its member’s lives. Countless studies have linked housing, food insecurity, transportation, and access to care to...
CMS has finalized a proposed rule to provide Medicare coverage to chronic low back patients accessing acupuncture, which furthers the administration’s efforts to address the opioid...
Henry Harbin, MD, a psychiatrist and an advisor to The Bowman Family Foundation, and his team were somewhat hopeful in 2017 after publishing their report on mental health parity and disparities from...
The America’s Health Insurance Plans (AHIP) recently espoused the Social Determinants Accelerator Act and urged a hearing to discuss how it might help the healthcare industry’s fight...
Keeping a Medicare patient healthy might seem clear cut at first glance – lean on primary care, foster medication adherence, and address mental health concerns. But quality outcomes are difficult...
The rise in high-deductible health plans due to the ACA’s lack of cost-sharing restrictions in some areas may be leading to high maternity out-of-pocket spending, researchers have...
Cooperation with providers and data sharing are key to success in pediatric value-based care, Horizon Blue Cross Blue Shield New Jersey (BCBSNJ)’s 2018 care quality results show.
“Horizon...
Consumerism in healthcare will steer many payer decisions in 2020, perhaps more obviously than in the past.
“There are a lot of pressures out there in 2020. It’s the time to step up and...
2019 was a big year for payers in pursuit of social determinants of health. Many payers invested resources and funds toward addressing the challenges their members faced in accessing quality...
