smorse

Author's posts

Study finds racial bias in Optum algorithm

Optum calls the study’s conclusions “misleading” as health systems use many data elements other than cost to select patients for clinical engagement.

Ownership of data is a heated debate

By law, patients own their own data, but access and understanding what’s in the record is not user friendly.

ACA premiums are down 4% and more insurers are in market for 2020

President Trump, who was supposedly trying to sabotage the ACA, has been better at running it than President Obama, who wrote the law, says HHS Secretary Alex Azar.

Humana charges Teva, 36 other pharma companies, with generic price fixing

Their modus operandi was to avoid competition that would normally result in significant price erosion and savings for purchasers, particularly insurers like Humana, the lawsuit said.

CVS partners with UPS on drone delivery of drugs and retail products

"Three dimension" delivery service ramps up competition between CVS, Walgreens, Amazon and others.

Old is not necessarily elderly as seniors want both lifespan and health span

Connected Health panel warns tech companies not to dismiss the marketplace power of those aged 50 and older.

Solving the social determinants requires the right tech and a better payment model

One the biggest challenges is that the payment system isn’t aligned with paying for social determinants across cross sector collaborations.

Public health insurance options would cut into industry margins, Moody’s says

A limited public option that largely preserves employment-based insurance would have only a small impact, while Medicare for All is an existential threat, Moody’s says.

Telehealth eliminates time and distance to save money

In the age of consumerism, virtual visits meet consumers where they are, says Anthem executive.

Medication adherence a big factor in Medicare Advantage star ratings

The bonus pool size is currently $6.3 billion, which goes to 4-star and above plans as $500 per member, per year.