As they navigate complex times, health insurers have their eye on two important financial indicators. And both are moving in the wrong direction. Costs are on the rise while Medicare Star Ratings are on the decline.
Separate but related, the two trends converge on the same idea: health plans need to enable higher quality care at a lower price.
If it sounds like a Herculean feat, that’s because it is. But some health plans are making it happen.
While some of the cost pressures—for
Read More
Population Health Management (PHM) in Healthcare | News, Analysis, Insights - HIT Consultant
Johns Hopkins Launches Illustra Health to Transform Population Health Analytics
What You Should Know:
- Johns Hopkins Health System announced the official launch of Illustra Health, an advanced suite of analytics and implementation capabilities designed to transform the practice of population health. Developed by Johns Hopkins veterans, Illustra Health aims to convert complex data into clear, prioritized actions with a proven impact on financial performance.
- Illustra Health builds on Johns Hopkins' long-standing commitment to population health innovation and
Read More
Ciba Health Launches Nation’s First GLP-1 Step-Down Program, Addressing Post-Medication Metabolic Health
What You Should Know:
- Ciba Health today announced the launch of its new GLP-1 Step-Down Program, marking the first national offering designed to guide individuals off popular weight loss medications like Ozempic and Wegovy.
- Ciba Health's virtual program aims to help members either avoid GLP-1 medications entirely or safely taper off them by rebuilding metabolic health through personalized care.
Addressing an Overlooked Gap in GLP-1 Care
GLP-1s, originally developed
Read More
MedeAnalytics and ZeOmega Partner to Launch Population Health Navigator
What You Should Know:
- MedeAnalytics, a healthcare enterprise data enrichment platform and analytics software-as-a-service (SaaS) leader, and ZeOmega®, a population health management organization, today announced the co-development of Population Health Navigator (PHN).
- The new solution unites predictive insights with care coordination to power value-based care programs. PHN combines the analytical capabilities of MedeAnalytics' Health Fabric™ with ZeOmega's care management
Read More
Dollar General Integrates with NationsBenefits to Tackle Food Deserts
What You Should Know:
- NationsBenefits®, the leading supplemental benefits and healthcare fintech solutions provider is proud to announce a new partnership with Dollar General, the largest discount retailer in the United States by store count.
- By integrating with Dollar General at more than 20,000 locations across the nation, the NationsBenefits’ proprietary Basket Analyzer Service (BAS) will provide millions of health plan members with increased access to affordable and nutritious
Read More
WeightWatchers Offers Reduced Price Wegovy® Through Novo Nordisk Collaboration
What You Should Know:
- WeightWatchers, the global leader in science-backed weight management, announced a expansion of its collaboration with Novo Nordisk that will increase access to authentic, FDA-approved Wegovy® (semaglutide) injection through WeightWatchers Clinic.
- The collaboration aims to simplify the prescription process, enhance affordability, and explore real-world research initiatives to improve long-term outcomes for individuals managing their weight.
Streamlined Access
Read More
Two-Thirds of Dual-Eligible Beneficiaries Say Their Health is a Day-to-Day Challenge, Cityblock Health Survey Reveals
What You Should Know:
- Cityblock Health announced the compelling findings from a new survey, conducted in partnership with Ipsos, shedding light on the complex healthcare experiences of individuals enrolled in both Medicare and Medicaid.
- The survey highlights significant challenges faced by this rapidly growing population, including widespread confusion, delayed care, and difficulties accessing essential services.
The Dual-Eligible Challenge
Dual-eligible individuals
Read More
6 Communication Strategies to Improve Rural Health Outcomes
According to the Centers for Disease Control and Prevention (CDC), rural Americans have a higher risk of premature death from heart disease, cancer, respiratory disease, stroke, and unintentional injuries than urban residents. Challenges related to social determinants of health (SDOH) such as poverty, lack of healthy food options, and poor transportation contribute to the problem.
Access also remains a key hurdle. One in five Americans lives in a rural area, where provider shortages account
Read More
Aledade Expands Michigan Footprint with Acquisition of CCA’s Value-Based Care Operations
What You Should Know:
- Aledade, the largest network of independent primary care in the United States, has announced its acquisition of the Michigan-based value-based care operations of CCA Holding Company, Inc.
- The move deepens Aledade’s presence across the state and empowers more physicians to succeed in a healthcare system focused on patient outcomes and quality.
Strengthening a Statewide Presence
The acquisition includes an Accountable Care Organization (ACO) and a
Read More
GLP-1 Patients Missed Over $10M in Potential Savings in a Single Quarter, Report Finds
What You Should Know:
- A new data analysis from DoseSpot, a leader in e-prescribing and healthcare technology solutions, found that 92 percent of GLP-1 prescriptions the company processed in Q1 2025 could have been filled at a lower price. This translates to a staggering $10.2M in missed savings for patients on these popular medications.
- The analysis of over 100,000 prescriptions highlights a significant gap in cost transparency and access to savings programs, contributing to the
Read More
