Blue Cross and Blue Shield Association (BCBSA) and the Blue Cross and Blue Shield companies have urged the healthcare industry to adopt national health equity data collection standards.
The companies...
Medicare beneficiaries in low socioeconomic status (SES) areas had higher rates of avoidable hospital admissions and emergency department visits but lower instances of physician and care management...
Payers, providers, and policymakers have taken a variety of approaches to social determinants of health data collection and interventions, according to an issue brief from Humana.
The brief provided...
Blue Cross & Blue Shield of Rhode Island (BCBSRI) has entered into a global capitation agreement in its Medicare Advantage program, according to a press release which HealthPayerIntelligence...
When it comes to obesity and diabetes benefit design, employers can—and should—adopt a health equity mindset, according to a flipbook from the Northeast Business Group on Health...
California, Connecticut, the District of Columbia, and Massachusetts pursued different Affordable Care Act marketplace strategies in order to improve health equity for underserved populations,...
Certain utilization management techniques—such as step therapy and prior authorization—may increase employees’ costs and restrict access to care, especially for employees with chronic...
Uninsured adults with moderate to severe symptoms of anxiety or depression were less likely to receive mental healthcare services compared to adults with healthcare coverage, according to a Kaiser...
Members of the Core Quality Measures Collaborative (CQMC), including AHIP, have identified multiple quality measurement gaps and recommended new digital quality measures and health equity quality...
Maternal healthcare costs in the US are too expensive, but value-based care may provide a solution, according to a brief from AHIP.
“Americans need and deserve safe, high-quality, equitable and...
Catheter users who received health insurance coverage from private health plans incurred higher annual out-of-pocket costs compared to catheter users on a government or public health plan, according to...
Pregnant people were more likely to experience high out-of-pocket healthcare spending, but Medicaid and public health insurance coverage helped minimize costs compared to private insurance, a study...
While precision medicine multicancer screening tests could blaze a path to lower cancer-related costs and earlier cancer detection, these precision medicine tools face many hurdles to acquiring payer...
Most Americans reported that health insurers are not successfully deflecting high healthcare spending and many survey respondents sought more transparency and out-of-pocket healthcare spending support...
The Affordable Care Act may have led to reduced the uninsurance rate among Black Americans since it went into effect, according to a report from the Assistant Secretary for Planning and...
National healthcare spending increased by 3.4 percent in 2021, while the Health Care Price Index (HCPI) maintained a year-over-year growth of around 2 percent, according to Altarum’s February...
AHIP called on providers and policymakers to join payers in their efforts to integrate behavioral healthcare and physical healthcare in an issue brief on the subject.
The payer organization laid out...
Chronic diseases are on the rise in the United States, leaving healthcare payers with the challenge of covering care for patients with these expensive, long-term conditions.
Chronic diseases are such...
Senior members might continue to see canceled or delayed care even as coronavirus cases decline, a trend which has had significant impacts on payer revenues and spending in 2020 and 2021, a report from...
The healthcare industry is making strides in diminishing low value care spending for commercially-insured patients with chronic low back pain (LBP), according to a research letter published in JAMA...