In the face of uncertain data regarding wellness programs’ efficacy and employees’ utilization, employers are revolutionizing their approach to employee wellness programs with an increased...
Blue Cross and Blue Shield of Minnesota (Blue Cross) will offer a $0 insulin copay for commercial, fully-insured members, increasing diabetic members’ access to care, the payer...
There are 16 percent more in-network physicians in California since the passing of the state’s surprise medical bills law — indicating that benchmark price setting may not force physicians...
Not price, not incumbency, but functionality is the key to winning and losing payers’ business, the KLAS Decision Insights Report 2019 indicated. Payers want highly functional, integrated,...
Over three years ago when Yvonne Krashkevich became director of quality and accreditation at Geisinger Health Plan, the multi-faceted nature of Medicare quality measures was an enigma to the...
Medicaid expansions under the Affordable Care Act (ACA) have improved coverage, access to care and coverage, and the economy, according to a recent Kaiser Family Foundation report.
“The...
Blue Cross Blue Shield Arizona (BCBSAZ) is using text message-based patient outreach to address prescription drug affordability and medication adherence, BCBSAZ announced.
The healthcare payer has...
Thirty-nine percent of employers will be focusing more strategically on high-cost claims by 2020, according to a study by the National Business Group on Health (NBGH).
The NBGH study drew responses...
In the midst of the transition to value-based care, healthcare payers are looking for key strategies to keep their populations healthier at a lower cost. To that end, most have realized that a...
Payers want to know how to drive a personalized care management plan, how to excel at member engagement, and how to improve outcomes, all ultimately to cut costs. But when a payer attempts to answer...
Believing that having a standard value-based insurance design (V-BID) plan could fast-track the implementation of value-based insurance design principles, a team of researchers from the University of...
Despite widespread industry calls to prioritize community health benefits, investing in social determinants of health can be risky for health payers. Between questionable return on investment and...
Cigna and Memorial Sloan Kettering (MSK) Cancer Center are collaborating to provide members with value-based, coordinated cancer care, Cigna announced.
“We’re pleased to partner with...
CVS Health is expanding its diabetes care model to incorporate preventive care and treat hypertension.
This move comes after CVS Health has reported considerable success with the first iteration of...
Governor Michelle Lujan Grisham signed an executive order requiring the state to offer health and wellness programs to state employees.
The goal is to help employees achieve work-life balance and...
The Centers for Disease Control and Prevention’s (CDC) National Center for Health Statistics released its provisional report on drug overdose deaths, showing opioid overdoses declined by two...
Nearly one in three employees want their employers to provide increased financial health support, and more demand additional mental health support, said a report by the National Business Group on...
Blue Shield California (BSC) recently announced its new platform Wellvolution and in doing so it emphasized payers’ movement away from solely brick-and-mortar wellness programs to...
A federal judge recently ruled in favor of a group of pharmaceutical companies challenging a new drug price transparency rule from HHS that required manufacturers to disclose wholesale acquisition cost...
CMS recently approved Louisiana’s subscription model for hepatitis C therapies in Medicaid, which would allow the state to negotiate supplemental rebate agreements from prescription drug...
