A health insurer that provides supplemental Medicare insurance and a preferred hospital organization can incentivize members to seek care at hospitals in the organization's network, according to an advisory opinion from the HHS Office of Inspector General.
Payer
The number of COVID-19 tests that sit 50 percent to 100 percent above the average cost has doubled, raising insurer concerns of widespread price gouging.
Magellan Healthcare has collaborated with autism provider Invo Healthcare to launch a value-based pilot program for children with autism spectrum disorder undergoing applied behavior analysis treatment.
Black patients are more likely to receive timely treatment of advanced and metastatic cancers under Medicaid expansion, according to a study published in the American Journal of Managed Care July 19.
North Carolina's five Medicaid health plans have joined the state's coordinated care network, NCCARE360, WNCT reported July 19.
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While it's been on the horizon for years, the payer market is finally taking the leap toward a "consumer movement," said Curtis Barnett, president and CEO of Arkansas Blue Cross Blue Shield.
When it comes to driving innovation, pushing for leveraging more technology throughout healthcare is crucial to bringing down costs, said Meghan Joyce, COO and executive vice president of platform for Oscar.
Nearly 4 million UnitedHealthcare members will have access to Peloton's digital fitness classes come Sept. 1.
Self-insured employers face low market power, stripping them of their ability to negotiate for lower prices with providers, according to a study.
Payers are responsible for covering preexposure prophylaxis, a drug therapy that prevents HIV infection, for their members at no cost, the Department of Labor announced July 19.