A Judge Approved BCBS’ $2.8B Settlement. Why Some Providers Are Opting Out
A judge has approved Blue Cross Blue Shield's $2.8 billion settlement with providers. However, some providers are opting out, arguing that it doesn't go far enough.
How Are Payers Approaching Obesity Management?
GLP-1s continue to be in high demand, and the healthcare industry is watching closely to see how payers decide to cover the drugs going forward. During a virtual panel, payer executives noted that it's important to remember that GLP-1s won’t be able to solve the country’s obesity crisis by themselves.
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RCM Outsourcing: Balancing Human Expertise & Smart Technology
Greenway Health blends smart technology with human expertise to elevate revenue cycle.
Who Really Benefits From Medicare Advantage Plans?
Health systems have been increasingly dropping MA contracts, saying that they cause their organizations to lose too much money and result in dangerous patient care delays. To mitigate this issue, experts think large MA plans need to delegate more utilization management duties to health systems rather than handling it themselves.
How to improve health equity? Start by bringing care beyond the clinic
The pandemic has revealed many health inequities across society. A panel of speakers at MedCity News’ INVEST Pop Health conference discussed the various ways that they are working to reduce inequities and improve outcomes.
5 Blues plans launch pharmacy solutions startup Evio
Five Blue Cross Blue Shield plans provided funding to establish Evio, which aims to improve clinical outcomes and cut drug costs. It will initially only offer services to the founding health plans, including data analytics to determine drug performance and enhancing outcomes-based contracting.
Sharecare strikes new partnership with large Arizona insurer
Digital health startup Sharecare launched an exclusive partnership with Blue Cross and Blue Shield of Arizona. Founded by former WebMD CEO Jeff Arnold and Dr. Mehmet Oz, the app offers activity tracking and coaching for users.
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Simplify Salon & Spa Employee Management with Meevo’s Comprehensive Software
Meevo offers an all-in-one solution for managing salon and spa employees. From scheduling and time tracking to payroll and promotions, Meevo streamlines operations and supports growth.
CMS seeks to expand provider access to claims data through pilot program
Participants will have the ability to request a Medicare beneficiary claims data from CMS to better understand their medical history and previous treatment patterns from other providers
ACA health plans still profitable in spite of legal challenges to law
"Earlier concerns that the market would collapse or insurer exits would lead to counties with no coverage available at all have proven unfounded," the Kaiser Family Foundation wrote in an analysis.
Blues in North Carolina and Oregon join forces in strategic affiliation
The entity will go by the Cambia Health Solutions name and Blue Cross North Carolina CEO and President Patrick Conway will take over as CEO of Cambia, in addition to his existing role.
Want workers to be better healthcare shoppers? Cut them a check.
Researchers examined a program that paid workers between $25 and $500 for using price transparency tools and choosing a lower cost provider for 131 different elective medical services.
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Immune Support on Demand: Ranking the Top Mobile IV Therapy Companies
Explore the top mobile IV therapy companies boosting immune health on demand, with standout services, expert care and innovative delivery across the U.S.
Lyft expands rideshare services for BCBS and Humana Medicare Advantage members
The move was driven in part by a CMS decision to open reimbursement channels for Medicare Advantage plans looking to innovate with supplemental benefits that can promote health outside of the clinical care setting.
As telehealth increases in prevalence, BCBS Federal Employee Program picks Teladoc to deliver services
At a time when telehealth seems to be becoming the norm for employee benefit packages, the Blue Cross Blue Shield Service Benefit Plan has chosen Teladoc to provide services for the 2018 benefit year.
Hygieia is teaming up with Blue Cross Blue Shield of Michigan to test device to treat Type 2 diabetes
Hygiei has teamed up with Blue Cross Blue Shield of Michigan in order to launch a 12-month study with its d-Nav service created to help about 1,000 diabetic patients more effectively manage their Type 2 diabetes.
Morning Read: Insurers are planning rate increases of 20%-40% in 2016
Reasons vary from not enough young and healthy customers and more health services (and higher claims) required from sicker patients getting health insurance for the first time.
Insurers are looking to lower costs by monitoring pregnancies using mobile apps
Mobile apps like those from Ovuline can help pregnant women stay health and save insurers money at the same time.