Healthpayerintelligence.com

NCQA Releases Health Plan Performance Ratings with …

WebBy Kelsey Waddill. September 17, 2021 - The National Committee for Quality Assurance (NCQA) has released its first set of Health Plan Ratings since 2019, providing insight …

Actived: 9 days ago

URL: https://www.healthpayerintelligence.com/news/ncqa-releases-health-plan-performance-ratings-with-covid-19-data

Understanding the Complexity of Healthcare Claims, Payments

WebA recent landmark study on the complexity of billing and paying for physician care found that 30% of healthcare resources are tied up in administrative costs, one-seventh of total …

Category: Health Go Health

An Overview of the CMS AHEAD Model for Health Equity …

WebThe AHEAD model takes the total cost of care model and enacts it across multiple states. CMS will offer support for primary care, hospital global budgets, and community …

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BCBS Launches Institute to Address Social Determinants of Health

WebA new subsidiary launched by BlueCross BlueShield called the BlueCross BlueShield Institute addresses social determinants of health related to transportation, nutrition, …

Category: Nutrition Go Health

How CMMI is Addressing Social Determinants of Health, Health …

WebBy Victoria Bailey. May 31, 2022 - Federal agencies and healthcare stakeholders have a renewed focus on addressing social determinants of health and health-related social …

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National Healthcare Spending, Prices Saw Modest Increase in 2021

WebBy Victoria Bailey. February 24, 2022 - National healthcare spending increased by 3.4 percent in 2021, while the Health Care Price Index (HCPI) maintained a year-over-year …

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Common Utilization Measures That Impact Value-Based Care Efforts

WebAnd, of course, utilization is closely tied to healthcare spending. This was evident in 2020 when the annual percent change in utilization per person dropped 7.5 percent, and …

Category: Course Go Health

Top 5 Largest Health Insurers in the US by National …

WebUnitedHealth Group, Anthem, Aetna, and Cigna returned to the list of the top five largest health insurers and one newcomer joined the list. September 29, 2021 - Overall, the list …

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3 Major Payers Take Action on Social Determinants of Health

WebThese three payers have the second, third, and fourth highest market shares in the US health insurance marketplace. In 2020, Elevance held 12 percent of the market share, …

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How Quality Measures, Star Ratings Impact Healthcare …

WebSeptember 05, 2023 - Quality performance metrics such as HEDIS, Medicare Advantage Star Ratings, and standardized core quality measures can give consumers an indication …

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Medicare Increases Access to Care, Affordability for Seniors

WebBy Kelsey Waddill. February 03, 2021 - Medicare coverage increases seniors’ access to care and reduces affordability barriers, a study published in Health Affairs discovered. …

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Using Medically-Tailored Meals to Boost Chronic Disease Care

WebAt Health Partners Plans, a medically-tailored meal delivery program is improving outcomes and reducing costs for members with chronic disease. May 16, 2019 - Chronic diseases …

Category: Medical Go Health

How One Payer Redesigned Wellness Program Rewards Around …

WebOffering rewards that deliver better value. UnitedHealthcare members can receive anywhere from $300 to $1,000 annually in rewards based on their wellness. This range falls well …

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Claims Payment Transformation Benefits Payer, Providers, and …

WebNovember 15, 2021 - Payers, providers, and members are all central to the healthcare experience, working together to create a seamless, coordinated encounter from …

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Why HEDIS Quality Measures Matter for Value-Based Care

WebJuly 05, 2016 - The Healthcare Effectiveness Data and Information Set (HEDIS) is used by more than 90 percent of health payers to assess and collect data on the performance of …

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Creating Strategies to Expand Transgender Healthcare Coverage

WebMarch 12, 2021 - For the nearly 1.4 million Americans who identify as transgender, transgender healthcare coverage is lined with hurdles. One in five transgender …

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How Home Health Will Evolve in the Year Ahead

WebJanuary 17, 2022 - Healthcare is continuing to go home. The trend of moving care from the hospital to the patient’s home began in the 1990s and has been gathering steam ever …

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Walmart Increases Self-Funded Employer Access to Cost-Effective …

WebOctober 18, 2021 - Walmart has partnered with a digital platform to provide self-funded employers and their employees with access to cost-effective healthcare. Employers …

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Financially Burdened Seniors Struggle to Cover Healthcare Costs

WebMedicareGuide.com gathered insights about healthcare spending from 1,176 Americans ages 65 and older, across a four-day period in September 2021. The survey found that …

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Humana reports Medicare Advantage growth, income gains in Q1 …

WebApril 25, 2024 - Humana added 50,000 individual Medicare Advantage beneficiaries and reported a net income of $741 million in the first quarter of 2024. The payer reported …

Category: Health Go Health

HealthPayerIntelligence News

WebBig Premium Drop, More Medicare Advantage Benefits Slated for 2021. September 29, 2020 by Kelsey Waddill. As Medicare Advantage plans prepare to expand their benefits …

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Anthem Announces Finalization of Integra Managed Care …

WebBy Kelsey Waddill. May 06, 2022 - Anthem has finalized its acquisition of Integra Managed Care, the payer announced. Integra is a managed care company that offers managed …

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