PayerQ&A: How Independent Health Is Implementing Real-Time Benefits Checks
"This is a much-needed conversation, at the point of care," says plan executive Martin Burruano.
PayerHealthfirst Case Studies Reflect Better Patient Outcomes Via Health Equity as Care Strategy
The plan describes its approach as a glimpse into what the future of U.S. healthcare could look like.
PayerSurvey on Outcomes-Based Contracts Shows Mixed Results for Novel Therapies
"Who is going to pay is the $10,000 question. And it's not just health plans," says one Avalere executive.
PayerBCBS Plan Targets Behavioral Health to Reduce Total Cost of Care
"It's really about connecting the dots. We said, 'Let's build a model that links the behavioral with the physical and...
PayerCMS Repeals Final Rule on Digital Therapeutics in a Year of Shifting Guidance
"[T]he absence of an established, repeatable, and scalable path to commercialization and prescription of DTx has bottlenecked broader uptake," says...
Revenue CycleNo Surprises Act 101: What You and Your Staff Need to Know
A new issue brief may help revenue cycle leaders to educate people in their departments and within their health system's...
PayerBlue Cross Equity Initiative Incentivizes Physicians to Close Care Gaps
"Data gaps and the lack of race data have been a challenge for years. Physicians can't do these kinds of...
PayerMedicare Punishes 2,499 Hospitals for High Readmissions
In its 10th annual round of penalties, Medicare is reducing its payments to 47% of all facilities.
StrategyFrom Sewers to Golf Courses, Cities See Green With New Federal COVID Relief Dollars
The American Rescue Plan Act provides $130 billion to cities and counties ? with few restrictions on how the money...
PayerAn Arm and a Leg': How One State Protects Patients From Hospital Lawsuits
This episode, the fourth in our series on charity care, focuses on how states are protecting consumers against aggressive hospital...
Revenue CycleBlue Cross Blue Shield of Massachusetts Will Incorporate Equity Measures into Payment Models
It's the first health plan in Massachusetts to announce such a plan, which will start in 2023.
PayerNovel Treatments Challenge Traditional Reimbursement
Paying for high-cost, breakthrough drugs is one of healthcare's abiding challenges?and tied to so many of the "pre-existing" conditions that...