3 Groups Payers Will Watch Closely in 2013
The variance between what the country's largest health insurance companies will cover is fairly small. With Medicare reimbursement rates as the benchmark for coverage decisions, payers first look to the federal agency, then to each other.
Yes, they're competing for their own share of healthcare dollars, but AHIP has illustrated the fine point on the issue that all payers are facing and that is how to cover an influx of new beneficiaries without additional cost sharing and without raising premiums?
The uncertainty hovering over how health insurance exchanges will work once up and running, and how many people will actually participate sets up payers to enter as late arrivals. Consumers, who are also confused about how exchanges will work, are likely waiting for the company name they recognize on their EOB statements to explain it to them.
Jacqueline Fellows is an editor for HealthLeaders Media.
- CFO Exchange: Smartphones Poised to Disrupt Healthcare, Says Topol
- Consumerism Drives Healthcare Branding, Rebranding Efforts
- PA Ranks See 'Phenomenal Growth,' Lack of Diversity
- CNO on Hospital Redesign: 'You Can't Over-Communicate'
- How Digital Strategy Shapes Patient Engagement at Boston Children's Hospital
- 3 Traits Personality Assessments Can't Reveal
- Antibiotic Overuse a 'Huge Threat' to Patient Safety, Says CDC
- Half of All Primary Care, Internal Medicine Jobs Unfilled in 2013
- Carondelet to Pay $35M to Settle Fraud Allegations
- CHS Hacked, 4.5M Patient Records Compromised