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.
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.
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.
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.
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.
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.
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
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.
"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.
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.
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.
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.
We will highlight Build My Health's revenue practice management tools, which could help physician practices add up to $250,000 to their practices.
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.
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.
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.
Mobile apps like those from Ovuline can help pregnant women stay health and save insurers money at the same time.
Blue Cross Blue Shield of Massachusetts recently entered into a partnership with American Well on a new telemedicine pilot that will permit direct engagement for consumers with their health plans and providers. The pilot, dubbed WellConnection, will last two years and will initially target a range of conditions, from monitoring recovery from concussions to wellness coaching to […]