November 1, 2018

Telehealth From Home

Enrollment in MA is projected to increase by 11.5 percent, and the number of plans to increase by 600 next year. Proposed changes issued today by the Centers for Medicare and Medicaid Services would allow Medicare Advantage insurers to be reimbursed for
November 7, 2018

Payers Seeking Support for Reimbursement

Payers are almost equally as likely to get decision support from websites than from consulting with colleagues. Healthcare payers in the U.S. are digitally savvy, and open to working with pharmaceutical companies to develop digital tools, finds a study into payer
November 21, 2018

Medicare Advantage Riding High

Health care experts widely expected the Affordable Care Act to hobble Medicare Advantage, the government-funded private health plans that millions of seniors have chosen as an alternative to original Medicare.
December 7, 2018

Why Medicare Advantage enrollment will keep on growing

CMS has broadened the services that Medicare Advantage plans can provide—services that may reduce expensive treatments and injuries. Insurers continue to see the market as a business opportunity. Critics see a slow-motion privatization of Medicare.
December 14, 2018

5.6% Reduction in Care Costs

Value-based payment adoption reduced payers’ care costs by 5.6 percent and led to improvements in provider collaboration and member engagement. Payers that implemented value-based payment models reduced healthcare costs by an average of 5.6 percent, improved provider
January 18, 2019

Why Population Health Management Matters

I was recently talking with a colleague about my decision to transition from working as an Emergency Department (ED) nurse practitioner to healthcare IT. I shared with her a story about a bad outcome related to an order set for an ED patient I was working with. This incident happened