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HSAs welcome credit and convenienceWhen health savings accounts (HSAs) are attached to high-deductible health plans, employers find the accounts' low cost and high employee accountability attractive. They can bring in lower health insurance premiums, reduce payroll taxes and, for employees, serve as tax incentives and an additional source of retirement savings.
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Technology a central factor among interrelated challengesThe most significant pressures facing payers evolve constantly, though they rarely change radically from year to year. While payers strive to lower administrative costs and improve efficiencies, manage healthcare costs and grow the business, recent years have seen substantial change in how they address these issues.
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Hospice patients could benefit if referred soonerDiscussing hospice and palliative care with patients and families lowers healthcare costs and allows patients to realize maximum benefits of care
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Downshifting Risk Through Payer-Provider Partnerships on the Road to Value-Based CareCOVID-19 forced providers and health plans to hit the brakes on traditional approaches to managing care—and then continue the journey in another vehicle, at a pace that seemed to approach 100 miles per hour.
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Review health risk assessment use under new GINA rulesFinancial incentives and penalties are no longer permitted when genetic information is requested on health risk assessments
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Medication management not well defined in MMAMedication therapy management (MTM) has long been a part of the pharmacy lexicon and is based on the premise that the right medication in the right dose gets to the right patient. This is to ensure that optimal outcomes are achieved with the highest safety. Numerous examples of pharmacy programs in diverse settings utilize the skills of the pharmacist to optimize drug therapy and improve outcomes and assure safety. The Veterans Administration, academia, health plans, as well as community pharmacies have all been settings where medication management of the patient has occurred.
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Physician connectivity reduces workloadPhysicians connected to health plans deliver better care, enjoy faster reimbursements, and have a lighter administrative load
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More efficient transactions lead to better collaboration with providersAutomation and integration are the keys to better care
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On Finance: Endovascular abdominal aortic aneurysm repairQuality and economic drivers for a new technology adoption
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Carve-in strategy adds context to integrated pharmacy investmentIn-house pharmacy management empowers members to control their spending
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Beef up your vendor's security measures to avoid a breach in patient privacyAsk hard-hitting questions about data security, backup and recovery when outsourcing IT functions
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Beef up your vendor's security measures to avoid a breach in patient privacyAsk hard-hitting questions about data security, backup and recovery when outsourcing IT functions
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Improved OR management alleviates common frustrationsProviders and payers benefit from efficient scheduling,vbalanced utilization and adequate staffing
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Improved OR management alleviates common frustrationsProviders and payers benefit from efficient scheduling,vbalanced utilization and adequate staffing
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Planning can help home health agencies thrive in the era of P4PPay-for-Performance (P4P) provides home health agencies an opportunity to show their value and expertise to the healthcare industry. The primary goal of home health has always been to educate the client and family on how to proactively manage a chronic illness and avoid the reoccurrence of an acute illness. Home health nurses are the eyes and ears of the physician, often recommending modifications to the plan of care based on their knowledge of the patient's medical condition and home environment. With the advancement of healthcare technologies and pending P4P regulations, this knowledge becomes a more important basis for assessing patient and family compliance to care recommendations.
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Legality of California's pay or play law called into questionUninsured workers need coverage, but opponeents say law is preemted by ERISA
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Public hospitals feel recession's pinchSome hospitals are feeling the pinch of the Great Recession.
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Insurers rankled by health exchange launchSystem flaws, software problems deter beneficiary enrollment, undermine new coverage.
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Independence Blue Cross President: How We Curb the Opioid EpidemicPhiladelphia has the purest and cheapest heroin in the country and a long history of multigenerational heroin addicted families. Here’s what Independence Blue Cross is doing about it.
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Brief interventions reduce alcohol abuse and its effectsAmericans see alcoholic drinks nearly every day-on TV, at parties and even on the family dinner table.
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September DTR: top 25 national managed care firmsRanked by total HMO enrollment as of 7-1-2002
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New consumer health coaches begin preseason warmupConsumer driven health calls for outsourced coaching in provider networks, benefit plan design
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To speed up transactions, there's no time like real timePhysicians have historically been lacking in collecting on bad debt, and now the cost of tracking it down might not be worth it
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Auto-enrollment provisions direct new members into benefit poolA policy requirement that employers with more than 200 full-time employees must enroll their employees in a company health plan may not take effect until 2015.
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Bariatric surgery can help, but not cure, diabetesIn the short term, gastric bypass surgery can profoundly improve glycemic control in adults with type 2 diabetes.
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Employers weigh rising costs, overall coverage optionsEmployers weighing coverage options will continue providing healthcare benefits.
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News You Should Know: 3 Takeaways from Top Managed Care Articles MarchWe know you’re pressed for time, so we’re here to help. Listen to this two-minute podcast for critical takeaways from three of our top articles.
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3 Ways Health Insurers Can Prioritize Member Experience in 2021An industry-wide shift toward consumerism and value-based care reflects modern consumers’ desire for transparency around their healthcare coverage. In order to meet these heightened expectations, insurers must adapt and identify new ways to educate, engage and support members who are taking ownership of their options.
