Patients Paid to Choose Less Expensive Prescription Drugs
UnitedHealthcare introduced a new program Oct. 29 that incentivizes members to choose less expensive prescription drugs.
NCQA UM Accreditation Earned By BHM Healthcare Solutions, Inc.
BHM Healthcare Solutions, Inc., (BHM), a leading supplier of behavioral health and medical review services, announced it received accreditation by the National Committee for Quality Assurance (NCQA) in Utilization Management (UM). NCQA UM (Utilization Management) Accreditation reduces duplicative oversight and inefficient gathering of information by organizations.
Clinical Documentation Improvement Top Priority for Hospitals
Hospitals are increasingly implementing clinical documentation improvement technologies, according to a Black Book survey.
Insurers Say Automation is Needed for Operational Efficiency
Insurers see outdated technology and a lack of automation as key challenges holding back their organization's operational efficiency and driving up costs, according to new survey results from HealthEdge.
New Opioids Bill Addresses Patient Brokering
The comprehensive opioids bill passed by the Senate and Congress includes a provision to protect opioid use disorder patients from a predatory practice known as patient brokering, according to The Washington Post.
Survey: Surgical Patients Expect Opioids
Many people still want opioids to manage pain after surgery despite heightened media coverage surrounding addiction risk and the opioid epidemic, according to survey results presented at the American Society of Anesthesiologists' annual meeting in San Francisco.
Healthcare Data Breaches Spike Significantly in Seven Years
Healthcare data breaches are on the rise, according to public data reported in a research letter and published in JAMA Network.
Physician Burnout an Ongoing Struggle
U.S. physicians continue to struggle with burnout and job satisfaction, according to a survey from the national, nonprofit Physicians Foundation.
Medicare Advantage Organizations Overturned 75% of Their Denials
A recent investigation by the U.S. Office of Inspector General found between 2014 and 2016, Medicare Advantage organizations overturned 75 percent of their preauthorization and payment denials upon appeal.
Health Insurance Plan Ratings for 2018: NCQA Releases Top 10 List
NCQA’s Health Insurance Plan Ratings 2018-2019 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.