BHM Blog 2017-11-29T14:57:21+00:00

Sharing what we learn begins here

State Telehealth Laws And Reimbursement Policies: 2017 Report

November 7th, 2017|Telehealth and Telemedicine, Uncategorized|

An updated version of the fifth edition of the Center for Connected Health Policy’s (CCHP) State Telehealth Laws and Reimbursement Policies Report was released.  CCHP’s report is the most comprehensive report on state telehealth laws, regulations and Medicaid policies available and contains the most current and up to date information for all 50 states and the District of Columbia.  The full report will be available on CCHP’s website, which also includes a state interactive map to more easily access this information.  CCHP also created easy to read two-page fact sheet and infographic summarizing the report’s key findings.

Healthcare Consumer Engagement Gap With Payers: They Want…?

October 30th, 2017|Big Data, Health Insurance, Physician Advisor/Peer Review, Trends|

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 Adopt APMs: Study Shows Market Penetration

October 30th, 2017|Accountable Care Organizations, Health Care Reform|

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.

C-Suite Cyber-Security Quick References

October 24th, 2017|Healthcare IT, Services|

“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.

2018 Health Plan Star Ratings Released By CMS

October 11th, 2017|Medicare and Medicaid, News and Events, Trends|

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.

Health Plans Encourage Wearables; Few Integrate Data

October 10th, 2017|Big Data, Clinical Analysis, Healthcare Prevention, Quality Improvement Programs|

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

October 10th, 2017|Infographic, IRO, Managed Care, Services|

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

October 5th, 2017|Care Coordination, Clinical Analysis, Clinical Operations Improvement|

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.  

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