Survey respondents are under no illusion that consumers will benefit. Only 10% believe payer consolidation will result in lower consumer healthcare costs, and even fewer (8%) believe patients will receive a higher quality of care.
A cofounder and board member of Physicians for a National Health Program, says "many patients will die because they can't get the preventive or primary care they need."
Value-based care is the direction providers must go; finding the right payer partners is the way to get there.
Healthcare providers, feeling strong pressure to shift away from fee-for-service and toward value-based care models, are asking commercial payers to...
Observers are downplaying UnitedHealth's departure from the health insurance exchange market, saying the insurer has never been as heavily invested there as other large payers. But a health economist says "the math doesn't make sense," and suggests others will follow...
Competition among health plans forces them to fight for market share, which is good for members, says Greg Hoeg, vice president of U.S. insurance operations at J.D. Power.
More data confirms it: States that have expanded Medicaid are experiencing increased savings. And states that have in place taxes on hospitals and health plans are seeing additional revenue.
The economic punch that comes from Medicaid expansion stems mainly...
Now that consumers have more choice when it comes to purchasing a health plan, it’s more important than ever for payers to attract and retain members, and help them forget “100 years of bad press about insurance companies.”
A clinical repository of Medicaid patients' medical histories… "gives us a full 360-degree view of a patient's medical care, their medications, immunizations, tests, and procedures," says the University of Mississippi Medical Center's chief health information officer...
Unless senior leaders encourage a culture of cooperation, provider-owned health plans will have a relationship with the provider network that is just as acrimonious as that of any outside payer, says SelectHealth's CEO.
