Resources by BHM Healthcare Solutions

Impact of Short-Term Limited Duration Health Insurance Shortchanged

April 24, 2018

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.

Population Health Management Update: Numerof Survey Report

April 17, 2018

Now in its third year, Numerof’s State of Population Health Management survey provides an in-depth, national look at the pace of change from fee-for-service. Conducted in collaboration with Dr. David Nash, Dean of the Jefferson College of Population Health, the study synthesizes survey responses from more than 400 executives and interviews with key decision makers across U.S. healthcare delivery

Top Cybersecurity Threat: 2018 Data Breach Investigations Report

April 17, 2018

Healthcare, warns Verizon’s 2018 Data Breach Cybersecurity Investigations Report (DBIR), is the only industry where insider threats are greater than threats from the outside. Human error remains a major contributor to healthcare risks. DBIR analysis also flags a shift in how social attacks, such as financial pretexting and phishing, are used.

Medicare Advantage Plans Grow With Star Ratings

April 10, 2018

The Medicare Advantage program continues to grow in popularity with both consumers and health plans.

At least one-third of seniors are estimated to be in an MA plan rather than fee-for-service Medicare. As baby boomers retire in large numbers, health plans are competing to capture the Medicare Advantage market.

Slash Payments for Emergency Departments: MedPAC Suggests

April 10, 2018

MedPAC proposed to slash payments in its March report to Congress. The commission specifically recommended a 30 percent payment rate reduction for off-campus standalone EDs that are no more than six miles from an on-campus hospital ED, according to the AHA.

What Insurers Need For ACA Market Plan Decisions

April 3, 2018

ACA Increases profitability for insurers, despite significant initial financial losses in the individual market after the key provisions of the Affordable Care Act (ACA) took effect. Health insurer profitability in the individual market rose due to substantial premium increases, government premium tax credits that pay for those premium increases, and the large, government-funded, Medicaid expansion.

Here are 10 instances which can help you better identify when its time to look for a partner.

Medicare Members Report Improvements in “Healthy Days” Report

April 3, 2018

In its second round of online provider directory reviews, the Centers for Medicare & Medicaid Services found that 52% of the Medicare Advantage provider directory locations listed had at least one inaccuracy.

U.S. Telemedicine Industry Benchmark Survey

March 27, 2018

The cost savings demonstrated in this study will support state Medicaid agencies, payers, and other health systems seeking new ways to improve access and quality while reducing telemedicine consults cost.

ACA Increases Profitability For Insurers: White House Report

March 27, 2018

Here are 10 instances which can help you better identify when its time to look for a partner.

Banner Health Investigated for Cyberattack

March 20, 2018

Verizon has re-examined the data within their Data Breach Investigations Report (DBIR) series to focus in on the healthcare sector’s unique profile and security challenges, and particularly the use/abuse of protected health information (PHI). Verizon’s 2018 Protected Health Information Data Breach Report (PHIDBR) is underpinned by 1,368 incidents from this caseload covering 27 countries.

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