Category: Health Insurance

Sutter Health|Aetna adds Stanford Health Care to network

The joint venture between provider and payer, which launched last year, has grown to about 50 plan sponsors across 15 counties.

Shorter stays in a skilled nursing facility tied to higher risk for readmission

Avoiding readmissions is one the top goals for providers who seek to avoid financial penalties linked to high rates.

Government subsidies may be key to containing hospital-borne infections

Patients and healthcare workers can spread infections from one hospital to another, even if some are more vigilant in controlling infections.

Cigna and Express Scripts launch program to cap out-of-pocket cost for insulin at $25 per 30-day supply

Cigna and Express Scripts clients will activate the new program for participating plans by moving covered insulin products to a lower copayment.

Podcast: KHN’s ‘What The Health’ The GOP’s Health Reform Whiplash

Rebecca Adams of CQ Roll Call, Anna Edney of Bloomberg News and Alice Miranda Ollstein of Politico join KHN’s Julie Rovner to discuss the latest “will they or won’t they?” when it comes to Republicans and comprehensive health reform. Also, a wrap-up of the latest abortion fights in the states and on Capitol Hill. And, another court setback for the Trump administration’s efforts to undermine the Affordable Care Act. Plus, Rovner interviews KHN’s Paula Andalo about the latest “Bill of the Month” feature.

What the revenue cycle picture could look like by the end of the year: Predictions

Artificial intelligence, real-time payments and telehealth are all factors that could affect the revenue cycle picture over the next nine months.

Duke Health and BCBS of North Carolina launch Medicare Advantage company

Duke Health will provide medical services and population health management programs while Blue Cross NC will handle enrollment, billing and claims services.

Anthem finds competitive edge in offering employers integrated health benefits

Large employers are increasingly interested in integrating dental, vision, pharmacy, other benefits, due to better outcomes, lower costs and employee satisfaction, survey finds.

Identifying a potential fix for the hospital star rating program

Since the introduction of the star ratings in 2016, they’ve been met with skepticism due to their methodology.

Most healthcare providers are behind the curve when it comes to digital health transformation, survey finds

Challenges include clinician resistance to adopting new solutions and difficulties integrating legacy systems with new digital tech.