Dana Gelb Safran, a Blue Cross Blue Shield of Massachusetts executive who works on analytics and improving outcomes, will serve as the initiative's "head of measurement," according to CNBC.
A new survey of 120 payers found that while health insurers see the positive impact of value-based care initiatives, challenges still remain, particularly regarding innovation and analytics.
Munck Wilson Mandala Partner Greg Howison shared his perspective on some of the legal ramifications around AI, IP, connected devices and the data they generate, in response to emailed questions.
California insurance commissioner Dave Jones has launched an investigation into Aetna after its former medical director, Jay Ken Iinuma, said under oath that he never looked at patients' medical records when deciding whether to approve or deny claims.
Earlier this week, Aetna sued claims administrator Kurtzman Carson Consultants, the company that was tasked with sending settlement notices to up to 12,000 Aetna members last year. Shortly thereafter, KCC fired back with a lawsuit against Aetna. The organizations blame each other for breaching Aetna members' privacy.
Hartford, Connecticut-based Aetna has agreed to pay $17,161,200 to settle a lawsuit regarding its disclosure of as many as 12,000 members' HIV statuses.
In a recent phone interview, Humana CMO Dr. Roy Beveridge chatted about value-based care, social determinants of health, 2018 predictions and what the Louisville, Kentucky-based payer has been up to.
At the Abarca Forward conference earlier this year, George Van Antwerp, managing director at Deloitte, discussed how social determinants of health and a personalized member experience can improve medication adherence and health outcomes.
Anthem, a payer headquartered in Indianapolis, has signed a lease to build a 352,000 square-foot, 21-story technology center in Georgia's capital.
Through the collaboration, the New York City-based startup's technology will assist Horizon members in gaining access to the care they need at the right time.
UnitedHealth Group CEO Stephen Hemsley will step down and become executive chairman of the board of directors. His successor is David Wichmann, president of UnitedHealth Group.
That 2015 Anthem data breach wasn't so easily forgotten. The health insurer has agreed to pay $115 million to settle a class-action lawsuit over the breach, which impacted 78.8 million individuals.
We will highlight Build My Health's revenue practice management tools, which could help physician practices add up to $250,000 to their practices.
Recent research from Oliver Wyman shows that although the majority of payers are offering plans on the 2018 exchanges, they're altering their geographic footprints and rate increases.
Low-income consumers struggling to pay their premiums may soon be able to get help from their local hospital or United Way. Some hospitals in New York, Florida and Wisconsin are exploring ways to help individuals and families pay their share of the costs of government-subsidized policies purchased though the health law’s marketplaces – at least […]
Analysts who fear health spending is accelerating got plenty of evidence in Wall Street’s second-quarter results to support their thesis. But so did folks who hope spending is still under control. Now everybody’s trying to sort out the mixed message. The answer matters because deficit debates and affordability concerns revolve around forecasts that health spending will […]
Nearly a decade before the Affordable Care Act, Maine, Maryland, Massachusetts, New Hampshire and a few other states began creating all-payer claims databases (APCDs). Acting as trusted third parties, they required all commercial insurance carriers within their borders to hand over their claims data, including the prices paid. In the last three years, the number of […]
Some cancer patients and their insurers are seeing their bills for chemotherapy jump sharply, reflecting increased drug prices and hospitals’ push to buy oncologists’ practices and then bill at higher rates. Patients say, “‘I’ve been treated with Herceptin for breast cancer for several years and it was always $5,000 for the drug and suddenly it’s […]