Category: Healthcare Finance News

CMS Innovation Center is testing direct contracting model

This model is part of a strategy to use the redesign of primary care as a platform to drive broader healthcare delivery system reform.

Pennsylvania partners with GetInsured to build and operate state-based health insurance exchange

Chief among the partnership’s goals is higher quality service and better affordability for people in the state purchasing insurance on the exchange.

To engage patients, understand their needs and wants

There is often a disconnect between what health plans provide and what patients want, according to Keith Roberts of Change Healthcare.

High out-of-pocket costs can make medications out of reach for millions of Americans with cardiovascular disease

Non-compliance has several causes, but recent years have seen patients assuming a greater share of healthcare costs, likely fanning the flame.

HIMSSCast: CMS price transparency rule, telehealth parity laws, and healthcare consumerism

The HFN team discusses some recent pieces of news from federal and state governments, and speculates on how these developments might fit into a more patient-centric healthcare future.

Benefit design, higher deductibles will increase bad debt for hospitals

Legislative proposals could reduce bad debt, but would likely introduce additional complexity to billing processes.

ACA open enrollment picks up in week 3, but is still a 13% drop over last year

Week 3 of 2020 open enrollment sees 26% fewer signups then in 2017, when there were two additional days to enroll.

Majority of parents say socioeconomic factors negatively impact their families’ health

Most parents believe they have the resources to raise healthy children, but significant hurdles can pose a persistent challenge.

Humana’s Medicare Advantage value-based programs reduce healthcare costs by $3.5 billion, report shows

Humana’s revenue is projected to increase on 17% rise in MA membership and premium increases, but return of HIF reduced workforce by 2%.

Premiums, deductibles eating up more of employees’ incomes, finds Commonwealth Fund

In 18 states, the average health plan deductible is now 5% or more of income, meeting the threshold for underinsurance.