Category: Health Insurance

Broker Websites Expand Health Plan Shopping Options While Glossing Over Details

These direct-enrollment broker websites are “under-policed” and can steer consumers toward plans that may not be the best option for them, a new report concludes.

Nursing Home Fines Drop As Trump Administration Heeds Industry Complaints

Inspectors are citing nursing facilities for violating health and safety more often than during the Obama administration. But the average fine is nearly a third lower than it was before President Donald Trump took office.

Judge Vows To Rule On Medicaid Work Requirements By End Of March

A federal district judge appeared skeptical of the arguments by the Justice Department and Arkansas and Kentucky that their programs should mandate that some enrollees work.

Two major Blue insurers, Cambia, BCBS North Carolina, combine in strategic alliance

Former CMMI Director Patrick Conway to be CEO of both, in a non-merger to align investments and eliminate redundant costs.

Physicians for Fair Coverage proposes ban on surprise medical bills for out-of- network care, creation of reimbursement standards

Proposal creates a national protocol for alternative dispute resolution, which would prohibit surprise bills and establish reimbursement standards.

Interdisciplinary education helps hospital patients better understand their medications, could reduce readmissions

Readmissions dipped at a participating facility after implementing a new medication education program.

How the ‘A’ in ‘AI’ can stand for ‘Assistive,’ and what that means for providers and patients

As AI and machine learning become a bigger component of care delivery, maintaining the human touch will be vitally important.

See how hospitals did in CMS overall star ratings: List is below

Rankings show 5-and 1-star providers about equally divided as majority fall in the 2-to-4 star categories.

HIMSS19 Pharma Forum: Top takeaways from the inaugural event

RSA Conference
The pharmaceutical industry’s biggest barrier? Data, of course.

While the price of healthcare is growing, utilization is dropping and price variations persist, report says

Report analyzed more than 1.8 billion commercial healthcare claims and data visualization to benchmark prices and use across 112 metropolitan areas from 2012 to 2016.