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State Telehealth Laws And Reimbursement Policies: 2017 Report

November 7, 2017

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.

Health Plan Effects On States And Nation

November 1, 2017

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…?

October 30, 2017

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 30, 2017

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 24, 2017

“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.

Best Medicare Plans: Announced By U.S. News & World Reports

October 17, 2017

U.S. News & World Report, the global authority in healthcare rankings, released the 2018 Best Medicare Plans. The new ratings are a resource for Medicare beneficiaries and their families searching for the best coverage options during the annual open-enrollment period, which began October 15 and runs through December 7, 2017.

Health Plans Encourage Wearables; Few Integrate Data

October 10, 2017

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 10, 2017

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 5, 2017

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

October 4, 2017

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.

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