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- Feed Preview Health Insurance Innovations Coverage - MedCity News
Florida insurers sued for ‘misleading’ consumers with sham health plans
Health Insurance Innovations and its subsidiary Health Plan Intermediaries Holdings are accused by plaintiffs of perpetrating a scheme to defraud policyholders into believing that they were b...
From statehouses to ivory towers: the case for healthcare transparency (MedCity ENGAGE)
Everyone likes healthcare transparency. But what KIND of transparency? The post From statehouses to ivory towers: the case for healthcare transparency (MedCity ENGAGE) appeared first on MedCit...
https://medcitynews.com/2015/05/healthcare-transparency-medcity-engage/
Free colonoscopy should come with free anesthesia (will more people get them)?
Not everyone knew the anesthesia came for free. The post Free colonoscopy should come with free anesthesia (will more people get them)? appeared first on MedCity News .
Who is really making medical decisions about patients (hint: it’s not the doctor)?
It’s someone who shares little risk or liability. I wonder: is this right? The post Who is really making medical decisions about patients (hint: it’s not the doctor)? appeared first on Med...
https://medcitynews.com/2015/05/really-making-medical-decisions/
History will remember how health insurance companies failed women
Even though Obamacare called for more coverage for women’s health, payers have not stepped up. The post History will remember how health insurance companies failed women appeared first on Me...
A ground-up look at the Medicaid managed-care reforms debate
A look at how insurance companies operating in Tennessee will be altered by these reforms give a window to the bigger Medicaid managed care changes. The post A ground-up look at the Medicaid ma...
https://medcitynews.com/2015/04/ground-look-medicaid-managed-care-reforms-debate/
Where’s the HIMSS coverage? And how will history remember Aetna, Anthem and Cigna? (Morning Read)
TOP STORIES Did you expect a Morning Read full of HIMSS coverage? Well, the conference is so large MedCity News is dedicating a separate e-newsletter to all of our coverage. You’ll also see a M...
https://medcitynews.com/2015/04/healthcare-business-intelligence-april-13-2015-morning-read/
This medical billing strategy put a hospital on the same team with its patients
Robert H. Wagner, director of revenue cycle at Methodist Health System, shares how his hospital found a way to tell patients ahead of time how much they were going to owe and how that got patient...
https://medcitynews.com/2015/04/5-day-strategy-simple-phrase-made-hospital-1-million/
Take an inside look at the lab designed to foster health insurance innovation
Get a tour of the recently opened America’s Health Insurance Plans innovation center. The group will use it to collaborate and test new ideas on topics including healthcare and wellness. AHIP d...
https://medcitynews.com/2015/04/take-look-inside-insurance-industrys-new-innovation-think-tank/
Team-based care: The new role of the payer
I recently sat in a conference room with an executive of a major health plan located on the East Coast. He made a statement that illustrates the perspective of payers across the country: “We a...
Will new health-pricing service Guroo.com provide protection in a high-deductible world?
This is a refreshing sentence: We have another entrant in the increasingly crowded health transparency space. The non-profit Health Care Cost Institute today unveiled Guroo.com, which the group s...
UnitedHealthcare upgrades Health4Me app to include wearables integration, mobile payments
UnitedHealth today unveiled a series of interesting upgrades to its Health4Me app, including mobile payments and integration into wearables. It’s yet another expansion of the app, which until t...
https://medcitynews.com/2015/02/unitedhealths-latest-app-upgrades-include-payments-wearables/
Insurance brokers aren’t dead yet (thanks to Texas’ Obamacare season)
As the health law’s second open enrollment season barrels to a close on Sunday, nearly a million Texans have purchased or applied for health insurance. This time around, insurance brokers are a...
https://medcitynews.com/2015/02/insurance-brokers-arent-dead-yet-thanks-texas-obamacare-season/
UnitedHealthcare not welcome in California health marketplace
UnitedHealthcare can’t have its cake and eat it too. That’s the message from the California health insurance marketplace, which turned aside a request from the nation’s largest health insur...
https://medcitynews.com/2015/02/unitedhealthcare-welcome-california-health-marketplace/
Anthem data breach reminds us: A patient ID is a pretty damn good idea
Anthem experienced a major data breach last week, and reportedly some records (Social Security Numbers and other identifying information, but not health data) of up to 80 million members and empl...
https://medcitynews.com/2015/02/anthem-data-break-reminds-us-patient-id-pretty-damn-good-idea/
Consumer-driven drug coverage (Obamacare style). Nothing fits
Square peg, round hole. More than a third of silver plans offered on the federal health insurance marketplace may be listing inaccurate or incomplete prescription drug cost-sharing information be...
https://medcitynews.com/2015/01/consumer-driven-drug-coverage-obamacare-style-nothing-fits/
Wake up! High-deductible health plans are the ultimate barriers to healthcare
They used to call high deductible health plans “consumer-directed” plans. That was before people realized there is nothing particularly consumer driven about them. A recent poll –not the f...
https://medcitynews.com/2015/01/wake-high-deductible-plans-ultimate-barrier-healthcare/
Turns out Medicare Advantage is a great option (for people already in Medicare)
The majority of people who signed up for Medicare Advantage plans in recent years were switching out of the traditional Medicare program, according to a recent study. The findings contradict the ...
https://medcitynews.com/2015/01/turns-medicare-advantage-great-option-people-already-medicare/
Find out the stark difference between health insurance prices (and which regions pay the most)
In health insurance prices, as in the weather, Alaska and the Sun Belt are extremes. This year Alaska is the most expensive health insurance market for people who do not get coverage through thei...
https://medcitynews.com/2015/01/find-stark-difference-health-insurance-prices-pays/
Top 5 Commonwealth Fund reads offer clues to tackling quality of care issues from local to international level
A review of The Commonwealth Fund‘s top five reports of 2014 offers some important clues on how to address quality of care issues on a local regional and international level. A report that plac...
European Union grapples with telemedicine challenges, too
Despite being separated by a big body of water and quite a few language barriers, there are few shared struggles in healthcare between the US and Europe. An Economist article highlighting the ris...
https://medcitynews.com/2014/10/european-union-grapples-with-telemedicine-challenges-too/
Would you get lower medical bills if health insurance didn’t exist?
Dr. Richard Amerling, president of the Association of American Physicians and Surgeons, writing from New York, had this to say in yesterday’s Wall Street Journal: A patient recently asked, “...
https://medcitynews.com/2014/09/watch-back-drive-doctoring-may-result-surprise-medical-bills/
CEOs highlight price transparency, telemedicine in employer health plans
Employers interested in using employer plans to pare down unnecessary healthcare costs could draw some encouragement from a report highlighting what a handful of companies achieved by rolling out...
HealthPrize raises $3M to expand medication adherence gaming platform to payers, employers
Digital health company HealthPrize Technologies is expanding an incentive program to motivate medication adherence tool that offers points towards prizes in exchange for patient engagement. It is...
Towers Watson explains how telemedicine will save companies $6B and who will benefit most
The big telemedicine story this week has been Towers Watson’s projection that telemedicine will save companies $6 billion in the next few years. It also figured into a big infographic illustrat...
Which telemedicine model will triumph?
With news that Richard Branson sees telemedicine as a decent investment opportunity, it raises the question of whether a dominant telemedicine model will emerge. That was one of the observations ...
https://medcitynews.com/2014/08/telemedicine-model-will-triumph/
CMS is on a $10B search for the next big health insurance innovation — but is it going anywhere?
Affordable Care Act was supposed to mend what President Barack Obama called a broken health care system, but its best-known programs — online insurance and expanded Medicaid for the poor affect...
https://medcitynews.com/2014/08/washingtons-10-billion-search-health-cares-next-big-ideas/
Tennessee’s largest health insurer used its monopoly to do the opposite of what you’d expect
CHATTANOOGA, Tenn. — The dominion of Tennessee’s largest health insurer is reflected in its headquarters’ lofty perch above the city, atop a hill that during the Civil War was lined with Un...
CMS experiment tests the impact of eliminating ‘observation care’ penalties
Medicare officials have allowed patients at dozens of hospitals participating in pilot projects across the country to be exempted from the controversial requirement that limits nursing home cover...
To get millennials’ attention, HealthCare.gov needs to be more consumer focused
Snoop Dog parodies, kegstands, Hollywood celebrities sharing personal stories. Where did it all go wrong? Despite working very hard to appeal to the all-important healthy and young millennial de...
https://medcitynews.com/2014/07/healthcare-govs-interface-major-turnoff-millenials/