Category: Health Insurance

BCBS Institute and Solera partner, pay SDoH organizations through outcomes-based medical claims

The collaboration allows health plans to pay for healthcare-related social services delivered by community benefit organizations.

Growth in telehealth outpaces that of other avenues of care — at least from 2016 to 2017

Telehealth usage grew 53 percent from 2016 to 2017, compared to just 14 percent for urgent care centers, the next-highest on the list.

Hospital revenue cycle: Ripe for modernization but facing big challenges

Declining margins and growing demands are forcing hospitals to rethink their rev cycle for the era of value-based care and patient experience.

Focus on Revenue Cycle: Hospital systems are ripe for modernization

This special collection of feature stories, interviews, videos and deep dives into what you need to know about the evolution of the revenue cycle will be updated throughout the month of April.

Suicide Risk Grew After Missouri Medicaid Kids Shifted To Managed Care, Hospitals Say

Psychiatric treatment for children in Medicaid managed-care plans in Missouri has declined and suicide risks are up, reveals a study sponsored by the state hospital association.

CMS Ignores Federal Judge Ruling To Approve Medicaid Work Rules in Utah

Work helps make people healthier, CMS chief Seema Verma said in approving Utah’s waiver request to tie government health benefits to employment or volunteer work. But Judge James Boasberg has said that isn’t the goal of Medicaid.

Seema Verma under fire for allegedly spending millions on outside GOP consultants

Energy and Commerce Chairman calls for OIG investigation into taxpayer spending for outside communications, including money spent to promote her brand.

Physicians’ trust in one another is a care safety and quality issue, experts find

If doctors don’t value and trust each other, the safety and quality of patient care could potentially be compromised.

Student loan forgiveness programs driving osteopathic physicians to primary care

About a third of osteopathic medical students intend to work in primary care, an 18 percent increase from 2007.

EmblemHealth works with physician group to deploy HealthReveal clinical AI tool within Epic EHR

EmblemHealth CEO Karen Ignagni says the effort gives a glimpse into the next-generation of population health.