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16 Matching News Items

1.  AHIP-Led Coalition Aims to Reduce Coverage Losses Amid Pending Medicaid Redeterminations
MedCity News Link to more items from this source
Mar. 13, 2023
"AHIP and several other healthcare organizations launched the Connecting to Coverage Coalition ... in an effort to make the upcoming Medicaid redetermination process run smoothly. The coalition's website includes studies on Medicaid redeterminations and frequently asked questions for enrollees. AHIP also released a report that shows 53.6% of those who will lose coverage will transition to employer-sponsored insurance and 21.2% will become uninsured."
2.  Mission (Im)possible: Overcoming the Status Quo in Health Coverage to Offer More Personalization
MedCity News Link to more items from this source
Dec. 14, 2022
"[M]any insurers have begun moving toward a 'supermarket' of various offerings, most likely amassing many segment-centric assets.... [Tailoring] health plan offerings reactively to consumer demand ... is achieved by adding hybrid products that address specific customer needs or by stitching together a marketplace of add-on point solutions.... [S]ome insurers are using the startup approach to design new care models and coverage plans. The risk is that it requires scale to succeed."
3.  Health Insurance Is Influencing Americans' Job Choices
MedCity News Link to more items from this source
Nov. 9, 2022
"More than 31% of people with employer-sponsored insurance stuck with a job they disliked for the company's health insurance ... Another 8% of respondents left a job they liked to seek better coverage."
4.  State Attorneys General to Tenth Circuit: States Should Be Allowed to Regulate PBMs
MedCity News Link to more items from this source
Oct. 21, 2022
"After a national trade association for PBMs ... sued the state of Oklahoma claiming the state's PBM regulations violated federal law, a district court ruled in favor of the state. PCMA appealed the case. Now, the state attorneys generals are asking the appellate court to reject PCMA's claims and uphold the district court's decision saying that Oklahoma can regulate PBMs." [Pharmaceutical Care Management Assoc. (PCMA) v. Mulready, No. 19-0977 (W.D. Okla. Apr. 4, 2022; on appeal to 10th Cir. No. 22-6074, amicus brief filed Oct. 18, 2022)]
5.  Cancer Care Poses Challenges for Employers
MedCity News Link to more items from this source
July 13, 2022
"As they seek to support their staff, self-insured employers are turning to innovative programs to balance evidence based programs with the need to manage healthcare costs."
6.  Can Telehealth Be Here to Stay?
MedCity News Link to more items from this source
Feb. 15, 2022
"Telehealth has proven itself undeniably practical. However, ensuring its long-term survival will require ongoing work and revision, including broadband improvements, permanent Medicare reforms, Interstate Medical Licensure Compact participation and payment parity assurance."
7.  Amazon Shuns Per-Employee Fees with New Telehealth Business
MedCity News Link to more items from this source
May 13, 2021
"Instead of the usual per-member per-month fee charged by most telehealth companies, Amazon is reportedly charging companies based on how many of their employees actually use the app ... For companies with lots of covered employees, this could be a more appealing payment model in the long run."
8.  Cleveland Clinic Teams Up with Aetna to Launch Insurance Plan
MedCity News Link to more items from this source
Aug. 19, 2020
"The Cleveland Clinic struck a partnership with CVS Health subsidiary Aetna to form a new accountable care organization (ACO). The two companies plan to launch a co-branded insurance plan this fall."
9.  The Employer's Guide: Using Primary Care to Curb Rising Care Costs
MedCity News Link to more items from this source
Dec. 26, 2019
"[U]se of Emergency Department facilities as a primary care point of access ... is one of the major reasons for the exceptionally high cost of care. For self-insured companies and large employer-sponsored populations, employers would benefit from a deeper understanding of their utilization data to inform strategies to decrease the costs related to high or inappropriate utilization of resources.... Rewarding primary care for managing a chronic disease ... compared to rewarding specialty care that may be unwarranted could be a start."
10.  Employers Overwhelmingly Support Pre-Existing Condition Coverage Requirements
MedCity News Link to more items from this source
Apr. 2, 2019
"A survey of 600 employers of various sizes ... found that 95 percent were in favor of Congressional action to preserve protections for existing conditions in the case of an ACA repeal or negation.... Expansion of subsidies to help purchase ACA exchange plans, for example, was only supported by 45 percent of respondents. Increasing funding for health exchange enrollment was even less popular, with only 30 percent of survey respondents in favor of the proposal."
11.  Tech Entrepreneur Raises $25M for Health IT Startup to Support Employer Insurance Choices
MedCity News Link to more items from this source
June 15, 2016
"League, a health IT startup that developed an app to ease the job of employers to locate providers and services for employees ... [joins] the likes of Oscar, Bright Health and others.... The company claims that its business fills a gap in insurance market products for employers by providing health spending accounts, wellness accounts, and group insurance plans from a mobile platform."
12.  Google Wants to Be a Payer
MedCity News Link to more items from this source
Feb. 1, 2016
"[T]here's a huge amount of interplay between patients, providers and payers. That, coupled with Google's multiple data-generating partnerships with the life sciences industry, and it's not a far cry to imagine Google having all the moving pieces under its purview to take on the role of payer."
13.  UnitedHealthcare Piloting Fitness App That Pays for Healthy Behavior
MedCity News Link to more items from this source
Mar. 4, 2015
"As part of an effort to make health insurance a more tangible and consumer-oriented tool, UnitedHealthcare is in the process of developing a new app that offers financial incentives for users who practice healthful behavior. The Minneapolis-based insurer is currently piloting the iPhone app, Reward Me, in Arizona and Illinois, offering users a litany of rewards based on both usage of the app and achievements in four categories: healthy eating, relaxation, healthy activity and life style[.]"
14.  Your Kaiser Permanente Doctor Will See You Now -- at Target
MedCity News Link to more items from this source
Nov. 18, 2014
"Target Corporation is teaming up with Kaiser Permanente to open four in-store Target Clinics in Southern California, taking a host of services directly to thousands of customers.... While Target has maintained clinics for the past 10 years at a number of stores, the partnership will allow for a much broader array of services than it typically offered at retail outlets. Expanded services include telemedicine consultations, prescription reviews, pediatric primary care visits, OB-GYN services, vaccinations and flu shots, pediatric and adolescent care and management of chronic illnesses like diabetes and high blood pressure, according to John Holcomb, vice president of healthcare for Target."
15.  Seven Significant Factors Driving Up Health Insurance Premiums
MedCity News Link to more items from this source
July 16, 2013
"[H]ealthcare spending is growing 2.4% faster than the country's GDP, making it almost impossible to manage in this barely recovering economy.... A thorough examination ... of a variety of available data revealed that the 7 most significant causes for increasing healthcare costs are new medical technology, provider price inflation, low primary care use, high spending on specialists, aging population, increase of chronic illnesses, and fraud. These factors drive your health insurance premiums up remarkably."
16.  5 Must-Dos for U.S. Health Care Reform
MedCity News Link to more items from this source
May 25, 2012
"[F]ive of the top must-dos for successful healthcare reform[:] More accessible and portable patient data, which enables improved communication among providers.... Tort reform.... Focus on prevention.... Insurance incentives for low-cost users, in order to instill a sense of personal responsibility in maintaining one's health.... [B]etter pay for quality outcomes."

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