Category: FierceHealthPayer

Self-insured employers will determine the fate of payment reform, analysts say

Self-insured employers are the largest payer of health insurance, but most are reluctant to move away from fee-for-service. In order to shift the balance toward value, employers have to start recognizing their market power, Brandeis University research…

Poll reveals partisan divide among consumers on healthcare policy priorities

A new survey commissioned by the Bipartisan Policy Center found a notable split in what people on each side of the aisle view as healthcare reform priorities. Democrats prefer a focus on insurance access, while Republicans instead focus on limiting the…

Worried about ‘defensive medicine’ in telehealth? Go on the offensive

WASHINGTON—As telemedicine creeps toward reality for more consumers, some payers are spooked by the possibility of extraneous tests or procedures ordered by cautious doctors. But telehealth offers plenty of ways to save money too.

Worried about ‘defensive medicine’ in telehealth? Go on the offensive

WASHINGTON—As telemedicine creeps toward reality for more consumers, some payers are spooked by the possibility of extraneous tests or procedures ordered by cautious doctors. But telehealth offers plenty of ways to save money too.

Anthem CEO optimistic about Medicare Advantage going into second half of 2018

Despite a decline in membership overall, the insurer is confident that it will increase enrollment in its Medicare Advantage plans, including retirees from the commercial market.

Anthem Blue Cross Medi-Cal signs on to state’s Health Homes Program

In collaboration with another participant, the plan seeks to coordinate care for some of California’s most vulnerable residents, beginning in San Francisco this summer.

Payer Roundup—House to vote on slew of HSA bills; Bright Health partners with Mercy in Ohio MA market

The floor votes on health savings accounts follow contentious debates in committee last week. In other healthcare news, Bright Health has joined forces with Mercy Health to offer MA plans in Ohio, and physicians are tepid about changes to fee schedule.

Kaiser leads insurers in customer experience for 4th straight year as Health Net plummets

A survey conducted by Forrester found Kaiser leading the pack of insurers in customer experience, followed by Humana and Empire Blue Cross Blue Shield. Meanwhile, Centene’s Health Net received poor marks because “many customers seem both confused and f…

Anthem partners with Samsung, American Well on telehealth offering

A new partnership between Anthem, American Well and Samsung will make it easier for 74 million members to access virtual consultations on Samsung Galaxy phones.

Payer Roundup—After advocating for AHPs for years, NFIB says it will not establish one

NFIB says the Trump administration’s new AHP policy wouldn’t really help them. Plus, amid news of rising premiums across the nation, a new study suggests state individual mandates could be the cure.