Success is good. But too much success can leave some people grumbling. Take Independence Blue Cross. The region’s largest health insurer anticipated enrolling 100,000 new members in Pennsylvania and through AmeriHealth New Jersey when the Affordable Care Act marketplace opened in October. As of April 30, the company had signed up a total of 283,000 […]
Technologies that turn healthcare data into knowledge make up a market that’s projected to grow more than 20 percent over each of the next five years. It’s quickly become a crowded space with startups and big players alike, but according to Pamela Peele, there are still some pain points left to be solved. Peele is […]
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.
Over the last nine months, Humana (NYSE:HUM) has undertaken a series of pilot projects aimed at testing the potential of remote patient monitoring in reducing hospital re-admissions, improving health outcomes and cut costs. Its latest program, called Activities in Daily Living, will utilize an engagement platform from Pharos Innovations to help its Medicare Advantage members […]
In 1960, more than half of Americans paid out-of-pocket for doctor visits, and 95 percent of them did so for prescription drugs. By 2011, only 10 percent paid out-of-pocket for physician services, and less than 20 percent did for prescription drugs. A designer from Georgia Tech turned some of the data captured in the California […]
It’s Super Bowl time for health insurance exchange marketers, as they drop millions of dollars on marketing campaigns aimed at residents without health insurance. Seventeen states have opted to do the heavy lifting for their own online exchanges, rather than punting that responsibility to federal government. Armed with federal grant money, several state exchanges have […]
Under a new agreement, insurer Humana and drug company Eli Lilly will use claims data to examine how drug interventions affect patient outcomes, adherence and overall costs. With an eye toward “improving health care quality and outcomes,” as said in a joint statement, the two have inked a multi-year deal under which they will look […]
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.
Ten years ago, it would have seemed strange that a health insurance company would want to encourage children to play video games. With today’s healthcare gaming culture, though, it makes total sense. Cigna thinks every young cancer patient should have access to Re-Mission 2: Nanobot’s Revenge, a video game designed to empower kids to fight […]
If ZocDoc and eHarmony got together, they would make something like NaviGo Health. It’s a new digital health startup that’s based on the idea that choosing a doctor is an important and deeply personal decision, not one that should be dictated strictly by location, convenience, availability and what strangers say on the Internet. Cleveland-based NaviGo […]
New reimbursement models and the impending launch of state health insurance exchanges pose some new technical and administrative challenges to health plans. A company that’s building enterprise software solutions to help payers handle these and other big changes in how plans are managed has just raised $14 million to continue growing. Healthation says that the […]
The music at Datapalooza IV set a funkier and faster tone from the very beginning of the week, and the Family Feud'n competition blew away any remaining assumption that this was a typical industry event.
We will highlight Build My Health's revenue practice management tools, which could help physician practices add up to $250,000 to their practices.
Hospitals have gotten some bad press lately, and health insurers have been getting a bad rap for about as long as I can remember. But some hospitals and health plans in Massachusetts defied those greedy reputations by saying they would withhold at least some medical bills for victims of the Boston Marathon bombing. The Boston […]
“Coin-toss medicine” was the preferred term that Dr. Samuel Nussbaum used on Wednesday to describe the problems with today’s healthcare system. Nussbaum, the chief medical officer and executive vice president, clinical health policy at WellPoint Inc. (NYSE:WLP), was referring to a study by the RAND Corporation which found that patients treated for asthma and other […]
With the Affordable Care Act now the law of the land, a value-based healthcare regime where hospitals are rewarded for keeping patients well, for being efficient and cost conscious is the path we are on. Instead of growing nostalgic for an easier time — never a recipe for success — hospitals need to review their […]