BHM Blog 2017-08-24T17:18:45+00:00

Sharing what we learn begins here

Health Plans Encourage Wearables; Few Integrate Data

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.

UnitedHealthcare Shares Consumer Sentiment Results

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.

Disturbing Prescribing Trend: Pain, Opioids, And Demographics

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.  

5 Health Plan Telemedicine Cases: Better Care, Increased Access

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.

Health Plans Hit New Low: 360° View Of Trust In Healthcare

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.

Exchange Reinsurance Stabilization: 17% Premium Reductions

America’s Health Insurance Plans (AHIP) released new research on exchange reinsurance stabilization efforts leading to higher enrollment in exchanges. Funding a $15 billion reinsurance stabilization package, in combination with a delay of the Affordable Care Act’s (ACA’s) health insurance tax (HIT) through the end of 2018 and guaranteeing funding of cost-sharing reductions (CSRs), could reduce average yearly premiums by $1,363 (a 17% reduction). Uncertainty in the individual market, rising premiums, and declining issuer participation have created the need for federal and state policy makers to address these issues to stabilize the marketplace.

Health Insurance Plan Ratings for 2017: NCQA Releases Top 10 List

NCQA’s Health Insurance Plan Ratings 2017–2018 compare the quality and services of more than 1,000 health plans in the United States and provide consumers with a practical and meaningful guide to understanding their health care options and choosing the best health plans for themselves and their families. National Committee for Quality Assurance (NCQA) is releasing its 2017 Health Insurance Plan Ratings. These ratings provide consumers with a more accurate picture of how health insurance plans perform in the key quality areas of consumer satisfaction, prevention and treatment.

Healthcare Payer Operations Improve With More Data

As healthcare payer operations integrate new practices to align with the value-based care paradigm, payers are critically challenged with identifying root causes to solve issues in order to improve and sustain performance. BHM Healthcare Solutions play a critical role in a larger operational system and offers two resources for consideration when reviewing the larger payer operational landscape.

Stable Health Insurance Markets: Maintenance and Alternative Methods

The Association for Community Affiliated Plans (ACAP) issued a report which examines possible alternatives to the individual mandate for health insurance coverage brought about by the Affordable Care Act and evaluates their cost and efficacy. It suggests that if the individual mandate were to be repealed, a mixture of alternative mechanisms would be required to serve a similar role in maintaining a healthy risk pool in the individual stable health insurance market.

Battles Against Opioid Addiction: CDC Fund States $28.6M

States have broad authority to influence and regulate the prescribing and dispensing of prescription drugs and do so in a variety of ways. CDC provides data and resources to equip and inform states about putting into practice strategies that help prevent high-risk prescribing and improve treatment for battles against opioid addiction and overdose.

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