Health Insurance Archives - Page 5 of 21 - BHM Healthcare Solutions

ACA Increases Profitability For Insurers: White House Report

2018-03-27T20:29:59-04:00By Emily Immer|Health Care Reform, Health Insurance, Health Insurance Exchange|

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.

Survey Shows ACA Support But Enrollees Are Anxious

2023-08-13T16:45:11-04:00By Emily Immer|Health Care Reform, Health Insurance, Health Insurance Exchange|

The Senate released its version (a.k.a. Better Care Reconciliation Act BCRA) of the House's AHCA. Payers and providers adjust as needed because healthcare reforms, like BCRA, AHCA, and ACA, continuously move through state and federal legislatures. Today's blog, pulls together summaries from numerous resources allowing you a quick glimpse or a deep dive into what waits around the corner. Here are 10 instances which can help you better identify when its time to look for a partner.

Medicaid Expansion Population Profile: Study for Payers

2018-02-20T20:31:42-04:00By Emily Immer|Health Care Reform, Health Insurance, Health Insurance Exchange|

The Senate released its version (a.k.a. Better Care Reconciliation Act BCRA) of the House's AHCA. Payers and providers adjust as needed because healthcare reforms, like BCRA, AHCA, and ACA, continuously move through state and federal legislatures. Today's blog, pulls together summaries from numerous resources allowing you a quick glimpse or a deep dive into what waits around the corner. Here are 10 instances which can help you better identify when its time to look for a partner.

Asthma Management Costs: $80 Billion Annually To Breathe Easier

2018-01-16T21:13:15-04:00By Emily Immer|Big Data, Financial Analysis, Health Insurance, Lean Management|

Asthma costs the U.S. economy more than $80 billion annually in medical expenses, missed work and school days and deaths, according to new research published in the Annals of the American Thoracic Society. Healthcare leaders’ continuing efforts to alleviate the trending asthma management costs will have long-term benefits for patients and providers alike.

CVS/Aetna Acquisition: Survey Predicts ‘Risky Business’

2017-12-19T19:13:56-04:00By Emily Immer|Health Care Reform, Health Insurance, News and Events, Quality Improvement Programs, Trends|

With the CVS/Aetna acquisition, payers are grappling with new risk and a slack consensus on how to best prioritize and respond to them.

Drug Prices Major Factor For Choosing A Payer Plan

2017-12-12T18:12:11-04:00By Eric Duchinsky|Health Insurance, Revenue Cycle Improvement, Trends|

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.

ACO Success Factors: Identifying Key Strategies

2017-11-14T17:45:26-04:00By Eric Duchinsky|Clinical Operations Improvement, Health Insurance|

Accountable care organizations (ACOs) have been the most popular vehicle for value-based payment model adoption to date, with over 923 ACOs covering approximately 32.4 million lives across the country. Recognizing the importance of successful ACO implementation, the Health Care Transformation Task Force (HCTTF) released a comprehensive analysis of high-performing ACOs and ACO success factors.

Health Plan Effects On States And Nation

2017-11-01T23:10:19-04:00By Eric Duchinsky|Health Insurance, Medicare and Medicaid, Trends, Uncategorized|

America’s Health Insurance Plans (AHIP) released a report which details health plan effects by state, including the District of Columbia. “More people than ever have health care coverage today. But, for plans, their commitments are about so much more.” says Dr. Richard Bankowitz, Chief Medical Officer for AHIP.

Healthcare Consumer Engagement Gap With Payers: They Want…?

2017-10-30T15:05:35-04:00By Eric Duchinsky|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 Insurance Plan Ratings for 2017: NCQA Releases Top 10 List

2023-08-13T16:42:52-04:00By Eric Duchinsky|Health Insurance, Uncategorized|

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.

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