A report from Blue Cross Blue Shield Association, was released linking social determinants of health to differences in health across communities. From this report payers can see how demographic, behavioral, and structural factors impact health conditions of their members in different ways and gain greater insight into these differences to better understand population’s overall health.
Value-based payment allows payers to increase efficiency; however, transition to a value based payment model is a slow process involving some risk. To make a successful transition, payers can assess value-based payment models to gain perspective of the challenges and drivers of success.
Payers are stretched to the breaking point trying to manage the onslaught of substance use disorder cases. It’s more important than ever to acquire accurate data to help payers and policy makers establish effective and long-lasting opioid crisis measures.
CEOs at hospitals and health systems are faced with increasing headwinds as they look to move forward in an uncertain environment. So what are the key issues and trends CEOs are facing? Deloitte interviewed 20 health system CEOs this year to find out. While none of the key themes emerging from our interviews have really changed since Deloitte last spoke with health system CEOs, the urgency certainly has. Instead of thinking about these issues in a futuristic sense, CEOs are ready to address and tackle them now.
A number of recent reports point to drug prices as the leading factor for choosing insurance coverage, particularly Medicare Advantage Plan. Payers must prioritize decision factors for signing and retaining members, meaning payer involvement in pricing and rebates directly influence member growth.
Workers compensation treatment guidelines are part of this Workers' Compensation Benchmarking Study. BHM's network of case and utilization reviewers meet high standards of clinical experience, especially covering the complex areas of behavioral health. Click HERE and discuss how BHM's review network can ease review workload.
This year’s "McAfee Labs 2018 Cybersecurity Threats Predictions Report" focuses on the evolution of ransomware from traditional to new applications, the cybersecurity implications of serverless apps, the consumer privacy implications of corporations monitoring consumers in their own homes, long-term implications of corporations gathering children’s user-generated content, and the emergence of a machine learning innovation race between defenders and adversaries.
2017 Telemedicine and Digital Health Survey reflects a surging demand for telemedicine services among providers and patients, and a broader acceptance of the technology by other major players in the health care industry. In the 2014 inaugural survey three years ago, 87 percent of respondents did not expect their patients to be using telemedicine services by this time. However, according to this year’s survey, those expectations have been defied with approximately three-quarters of respondents currently offering, or planning to offer, such services, and also having strong intentions to grow those programs (53 percent).
The benefits of putting an end to the opioid crisis burden exceeded $95 billion in 2016 according to an analysis released by Altarum, underscoring the importance of swift investment in evidence-based interventions.
New study finds over 40 states pursuing value-based payment programs, with 15 multi-payer initiatives across those states. The study reveals a range of approaches and significant variation in the scope, leadership commitment, and resources devoted to the transition from fee-for-service to value-based reimbursement.