Change Healthcare (CH) announced payer insights revealed in The Engagement Gap: Healthcare Consumer Engagement in 2017, a new national study of 89 payers, 251 providers, and 771 consumers. CH asked payers about the factors influencing their consumer-centric initiatives, and how these strategies are altering their organizations. Health plans surveyed were generally aligned in pointing to value-based care as the primary factor driving their focus on consumer-centricity, with 74% reporting it as the leading factor.
Health plans of all sizes are interested to learn where they stand in the movement toward alternative payment models (APMs) – that is, shared savings, shared risk, bundled payments, or population-based payments and how they compare to the market. Some health plans adopt APMs because of market conditions, others by factors such as data system limitations or provider readiness.
“To geek or not to geek?” that is not the only question. The real c-suite cyber-security question for executives might be, “Trust or not to trust?” All things IT still intimidates most people, no matter the generation. Being informed about security, network structures, and intrusive software challenges many experts in the field. Handing the responsibilities over to internal or contracted specialists without understanding the general concepts of cyber-security creates a blind spot. Not unlike, not grasping financial concepts because the accounting department handles that stuff.
U.S. News & World Report, the global authority in healthcare rankings, released the 2018 Best Medicare Plans. The new ratings are a resource for Medicare beneficiaries and their families searching for the best coverage options during the annual open-enrollment period, which began October 15 and runs through December 7, 2017.
The Centers for Medicare & Medicaid Services (CMS) released the Star Ratings for the 2018 Medicare health and drug plans. With the release of the Star Ratings, people with Medicare will have improved access to high-quality health choices for their Medicare coverage in 2018. This news comes on the heels of the recent release of the benefit and premium information for Medicare health and drug plans which shows that there will be more health coverage choices and decreased premiums in 2018.
While health plans encourage wearables, the assessment of the benefits of wearables has been the target of several recent studies. Researches are interested in discovering the “stickiness” of the devices and their effect on wellness program success. The studies note that the Inside employer and payer wellness programs as well as the independent user reflect positively.
More Americans are turning to technology first to evaluate health conditions, and a growing number are interested in using the internet to access medical care, while opportunities remain to improve peoples’ understanding of basic health insurance terms and the connection between lifestyle choices and disease, according to a new study. UnitedHealthcare shares results in a new report.
A recent study from the University of Kansas School of Pharmacy has uncovered a disturbing prescribing trend in prescribing opioids for nonmalignant chronic pain (defined as pain lasting for more than three months not associated with cancer). The study adds definition to the opioid landscape starting with pain and possibly leading to addiction.
Payers continue wrestling with service delivery expenses to the expanded insurance coverage audience, who were previously uninsured or underinsured. Health insurers now meet the needs of these newly-covered individuals and families, including assuring access to specialty care. One strategy insurers employed is the use of telemedicine. Telemedicine expands access to needed care, facilitate better care coordination and help contain costs. These 5 Health Plan Telemedicine Cases demonstrate how to improve benefits and access.
Findings from the 11th Annual ReviveHealth Trust Index™ reveal trust in healthcare is dismal across the board, and trust in health plans hit new low. The survey represents the first 360-degree view of trust in healthcare – digging into consumer, physician, health plan, and health system executives’ views of each other – showing the industry as a whole has a long way to go. Factors driving widespread distrust in health plans by provider organizations include the hassle of doing business with payers and a lack of progress toward new models of payment and care. Consumers feel slighted by health plans as well, compared to the higher trust ratings in physicians and hospitals.