Category: Health Insurance

Low mobility predicts hospital readmission in older heart attack patients

Previous risk models hadn’t considered functional impairments, as they aren’t generally available in registries and trials.

Must-Reads Of The Week From Brianna Labuskes

Newsletter editor Brianna Labuskes wades through hundreds of health care policy stories each week, so you don’t have to.

Profitability holds steady as revenues and expenses converge, Moody’s finds

The rate of revenue growth in 2018 eked ahead of expenses for the first time since 2015.

When is a check-up not a check-up?

Kaiser Health News told the story of a 69-year-old woman who went to a new doctor for her annual check-up, assuming it was covered by Medicare and was happy with the visit until she got a $400 bill. Most Americans believe in “annual check-ups,” at whic…

Doctor On Demand, Humana team up on new virtual care model

The telemedicine company and insurer have developed a new virtual care model that lets patients access an in-network primary care doctor with no copay.

Providers looking to reduce costs need to address the social determinants, Humana says

A Medicare Advantage member who is food insecure can have up to 26.6 unhealthy days a month, correlating to 10 hospital admissions per thousand, or $15.64 per member per month in higher medical costs.

Newsom: California Leads On Prescription Drugs

  California regularly portrays itself as a national trendsetter on political issues, and Gov. Gavin Newsom is claiming that title on prescription drugs. Newsom has a plan to take on the drug industry, and at an April 17 news conference in Southern California, he declared that two other governors already want to join his effort. […]

Hospitals Chafe Under Medicare’s New Payment Rule For Off-Campus Clinics

Under the rule that took effect this year, Medicare will lower payments for clinic visits performed at hospital-owned facilities to a rate that is equivalent to what it pays an independent doctor. Federal officials expect the move will save the government $380 million this year.

Amazon markets PillPack and offers one-day delivery for Prime members

The company’s earnings more than doubled this quarter over the same period last year, rising to $3.6 billion.

Maintaining a healthy revenue cycle means tapping into the consumer mentality

Increasingly, revenue cycle health now requires meeting patients halfway or more, with convenience and access at the center.