Food insecurity is one of the biggest social determinants of health. It affects over 19 percent of United States adults, according to data from the Centers for Disease Control and Prevention.
The...
Update 1/7/2020: This article was updated to reflect that half of the reimbursements in the commercial sector made in 2017 were value-based. Previously, the first line of the article stated that half...
While virtual care is attractive, patients still value in-person care, according to a consumer survey conducted by Blue Cross Blue Shield Arizona (BCBSAZ) and USC Schaeffer Center.
"It's our job...
Health payer spending in 2018 saw a 13.2 percent increase in net insurance costs, driven largely driven by the health insurance tax reinstatement, an analysis by the Centers for Medicare and Medicaid...
As more employers seek to offer the best healthcare benefits to their employees, they are focusing on quality and a diverse set of plans, which tends to lead them toward HMOs and PPOs according to a...
Five gaps prevent Medicare Advantage health plans from engaging in successful patient-centered care for chronic disease management, a HealthMine survey concluded.
"We see that plans have definitely...
Primary care services were reimbursed 23.8 percent more than behavioral healthcare in 2017, which indicates that among commercial payers the payment parity issue between physical and behavioral...
The healthcare industry is continuing to shift its focus from volume to value. Various value-based care models focus on delivering the highest quality care to patients for the lowest...
Evidence is mounting to confirm that value-based care models are more cost-effective than fee-for-service, according to Humana’s fifth Value-Based Care Report, which said bundled payments and...
There are two elements of value-based care that should come as no surprise to a seasoned healthcare professional regarding value-based partnerships. First, that payer-provider relationships are at the...
Florida Blue has partnered with ridesharing service Lyft to offer rides to members as part of the benefits package of Affordable Care Act (ACA) individual plans beginning in early 2020, according to a...
Transportation is one of the biggest challenges to rural healthcare. Often, the most remote areas of the country do not have robust public transportation networks; and for those with access to...
Healthcare spending accounts for 18 percent of the entire United States GDP. While nearly one-quarter of this spending is unnecessary and wasteful, removing waste from the healthcare system is a...
Medicare coverage gaps may cause considerable financial distress for the most seriously ill patients, with 53 percent of seriously ill Medicare beneficiaries admitting they struggle to pay for care,...
Over half of American adults have a chronic condition, including hypertension, diabetes, and chronic lung disease, the leading drivers of health care costs. Access to proper medical treatment, proper...
Successful value-based contracts are contingent on payer-provider partnerships. These partnerships must be built on clear lines of communication so payers can support providers in delivering the best...
Patients with diabetes enrolled on a high-deductible health plan have a hard time paying for their brand-name medications, having a negative impact on medication adherence, according to new data...
The 4th Annual Value-Based Care Summit brought payers and providers together from across the country together to discuss best practices in value-based care. Open and frank discussions provided valuable...
As both the managing director of behavioral health at Blue Cross Blue Shield Rhode Island (BCBSRI) and a licensed clinical social worker, Rena Sheehan knows the challenges parents face when searching...
According to a study by the Georgetown Center for Children and Families, the number of uninsured children has increased by over 400,000 in a two year time-span and policymakers and researchers alike...
