Health Insurance Innovations and its subsidiary Health Plan Intermediaries Holdings are accused by plaintiffs of perpetrating a scheme to defraud policyholders into believing that they were buying comprehensive medical coverage plans.
Everyone likes healthcare transparency. But what KIND of transparency?
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.
Not everyone knew the anesthesia came for free.
It's someone who shares little risk or liability. I wonder: is this right?
Even though Obamacare called for more coverage for women's health, payers have not stepped up.
A look at how insurance companies operating in Tennessee will be altered by these reforms give a window to the bigger Medicaid managed care changes.
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.
TOP STORIES Did you expect a Morning Read full of HIMSS coverage? Well, the conference is so large MedCity News is dedicating a separate e-newsletter to all of our coverage. You’ll also see a Morning Read-style wrap up of HIMSS-only news published Monday through Thursday (it will appear on the site about an hour after […]
Robert H. Wagner, director of revenue cycle at Methodist Health System, shares how his hospital found a way to tell patients ahead of time how much they were going to owe and how that got patients to pay them more often. The method, he said at the Revenue Cycle Solutions Summit at HIMSS 2015, put the hospital and the patient "on the same team."
Get a tour of the recently opened America's Health Insurance Plans innovation center. The group will use it to collaborate and test new ideas on topics including healthcare and wellness. AHIP describes it as an "action hub" where all of healthcare can collaborate on creative solutions to specific problems. It's based in Chicago.
I recently sat in a conference room with an executive of a major health plan located on the East Coast. He made a statement that illustrates the perspective of payers across the country: “We [as payers] are uniquely positioned to see all the care activities around an individual member. Yet, we struggle in our ability […]
We will highlight Build My Health's revenue practice management tools, which could help physician practices add up to $250,000 to their practices.
This is a refreshing sentence: We have another entrant in the increasingly crowded health transparency space. The non-profit Health Care Cost Institute today unveiled Guroo.com, which the group says provides some the most accurate estimates for medical procedures on the web. Institute Executive Director David Newman stated a site like Guroo could help the growing […]
UnitedHealth today unveiled a series of interesting upgrades to its Health4Me app, including mobile payments and integration into wearables. It’s yet another expansion of the app, which until the middle of last year was for members only. In July, UnitedHealthcare opened it to anyone who wanted to check healthcare pricing. This moved Health4Me into the […]
As the health law’s second open enrollment season barrels to a close on Sunday, nearly a million Texans have purchased or applied for health insurance. This time around, insurance brokers are aggressively marketing themselves to shoppers – it’s a big change for the brokers who have had an uneasy relationship with the health law for […]
UnitedHealthcare can’t have its cake and eat it too. That’s the message from the California health insurance marketplace, which turned aside a request from the nation’s largest health insurer to sell statewide on the exchange because it opted not to join when the effort was getting off the ground in 2014. California is one of […]
Anthem experienced a major data breach last week, and reportedly some records (Social Security Numbers and other identifying information, but not health data) of up to 80 million members and employees were obtained by hackers. There is much to be said (and much has already been said) about the need for privacy and security and protections […]