• Skip to main content
  • Skip to secondary menu
  • Skip to primary sidebar
  • Skip to secondary sidebar
  • Skip to footer

  • Opinion
  • Health IT
    • Behavioral Health
    • Care Coordination
    • EMR/EHR
    • Interoperability
    • Patient Engagement
    • Population Health Management
    • Revenue Cycle Management
    • Social Determinants of Health
  • Digital Health
    • AI
    • Blockchain
    • Precision Medicine
    • Telehealth
    • Wearables
  • Startups
  • M&A
  • Value-based Care
    • Accountable Care (ACOs)
    • Medicare Advantage
  • Life Sciences
  • Research

Medicare Insurance| Regulatory, Policy, Patients Analysis, Insights - HIT Consultant

Whistleblowers Accuse UnitedHealthcare/Optum of Medicare Fraud, Denying Critical Care to Nursing Home Patients

by Fred Pennic 05/21/2025 Leave a Comment

Whistleblowers Accuse UnitedHealthcare/Optum of Medicare Fraud, Denying Critical Care to Nursing Home Patients

What You Should Know:  - Less than a week after the resignation of UnitedHealth Group (UHG) CEO Andrew Witty, two whistleblowers have come forward with significant evidence alleging that Optum, a subsidiary of UnitedHealthcare (UHC), is engaged in dangerous and deceptive practices amounting to defrauding Medicare.  - The accusations detail a purported "playbook" employed by UHC that systematically delays or outright denies critical care to vulnerable nursing home patients to
Read More

The Health IT Needed to Implement Harris’ Medicare Home Care Proposal

by Dharam Khalsa, Co-Founder of Assisted Living platform Mirador 12/27/2024 Leave a Comment

The Health IT Needed to Implement Harris’ Medicare Home Care Proposal

Vice President Harris’ proposal to expand Medicare to include home care for seniors and people with disabilities could potentially provide up to 20 hours of weekly in-home care. The eligibility requirements for recipients is that they must face challenges with daily activities or suffer from serious cognitive impairments like Alzheimer’s.  Given this could potentially open up access to home care to millions of Americans who currently can’t afford to pay for it, will undoubtedly place an
Read More

Healthpilot and Publix Partner to Simplify Medicare Plan Selection for Seniors

by Fred Pennic 11/13/2024 Leave a Comment

What You Should Know: - Healthpilot, an AI-powered Medicare comparison platform, and Publix Supermarkets have joined forces to simplify the process of choosing Medicare plans for seniors. - Publix Pharmacy customers can now access Healthpilot's comparison tool directly through the Publix website to review and compare Medicare Advantage and Part D prescription drug plans where Publix Pharmacy is a preferred pharmacy and Healthpilot is affiliated. Addressing the Complexity of Medicare Choices Navigating the Medicare landscape can be overwhelming for seniors. With an average of 43 Medicare Advantage plans and 21 Part D standalone prescription drug plans available, choosing the right coverage can be a daunting task. Unfortunately, research indicates that 7 out of 10 seniors do not compare plans, potentially leaving them with inadequate coverage. Expanding Access to Medicare Guidance This partnership between Healthpilot and Publix makes it easier for seniors to access personalized Medicare guidance. By integrating Healthpilot's comparison tool into the Publix website, the companies are reaching seniors where they already shop, providing convenient access to essential resources. AI-Powered Personalized Recommendations Healthpilot's AI-driven platform simplifies this process by analyzing individual needs and preferences, including preferred physician networks, pharmacies, prescription drugs, socioeconomic factors, and lifestyle needs. The platform then provides personalized Medicare plan recommendations tailored to each customer's unique circumstances. Key Features of the Healthpilot Platform Personalized Plan Recommendations: AI-powered analysis ensures that customers receive plan suggestions that align with their specific needs and preferences. Accessible Information: Healthpilot provides clear and comprehensive information about Medicare plans, empowering seniors to make informed decisions. User-Friendly Digital Experience: The platform offers an intuitive website that guides users through Medicare education, plan selection, and enrollment. Superior Customer Support: Healthpilot's team of licensed insurance agents and customer support personnel are available to answer questions and assist with the enrollment process. "Making Healthpilot available to Publix Pharmacy customers reflects our commitment to provide broad access to our industry-leading AI-powered Medicare shopping platform," said Seth Teich, CEO of Healthpilot. "We benefit from bringing our platform to a wider audience of pharmacy customers that know and love Publix for their superior shopping experience. Customers benefit from having access to an AI-powered solution that helps them find the right Medicare plan for their unique needs."

What You Should Know:  - Healthpilot, an AI-powered Medicare comparison platform, and Publix Supermarkets have joined forces to simplify the process of choosing Medicare plans for seniors.  - Publix Pharmacy customers can now access Healthpilot's comparison tool directly through the Publix website to review and compare Medicare Advantage and Part D prescription drug plans where Publix Pharmacy is a preferred pharmacy and Healthpilot is affiliated. Addressing the Complexity of
Read More

Connie Health Acquires Keen Insurance Services, Expands Reach to Empower Seniors in Navigating Medicare

by Health M&A 10/02/2024 Leave a Comment

Connie Health Acquires Keen Insurance Services, Expands Reach to Empower Seniors in Navigating Medicare

What You Should Know:  - Connie Health, a Boston-based tech-enabled Medicare navigation platform, today announced that it has acquired Keen Insurance Services, a company built at Redesign Health.  - The acquisition will strengthen Connie Health’s commitment to expanding its reach and helping seniors across the U.S. make informed healthcare decisions.  Meeting the Growing Demand for Personalized Medicare Guidance This strategic acquisition comes at a time of significant
Read More

JAMA: Traditional Medicare Is, In Fact, The Failure

by Fred Pennic 06/11/2024 Leave a Comment

JAMA: Traditional Medicare Is, In Fact, The Failure

What You Should Know:  - A new article published in JAMA Internal Medicine reignites the debate about Medicare Advantage and traditional Medicare.  - Dr. Sachin H. Jain, CEO of SCAN Group and SCAN Health Plan, argues in favor of Medicare Advantage, while Drs. Adam Gaffney, David Himmelstein, and Steffie Woolhandler advocate for traditional Medicare. Traditional Medicare: Lower Costs, Fewer Benefits Traditional Medicare offers beneficiaries lower premiums, but it comes with
Read More

M&A: MultiPlan Acquires Benefits Science LLC for $160M

by Fred Pennic 05/09/2023 Leave a Comment

M&A: MultiPlan Acquires Benefits Science LLC for $160M

What You Should Know: MultiPlan, a provider of data-enabled cost management, payment, and revenue integrity solutions for 700+ healthcare payors announced the acquisition of Benefits Science LLC (BST) for $160M in cash and stock.BST was founded in 2012 by a group of MIT-trained experts in data science, including Dimitris Bertsimas, Ph.D., who is recognized as an early pioneer in healthcare analytics and who serves as the company’s chief data scientist. Dr. Bertsimas will continue with BST
Read More

Healthy.io Secures $50M to Expand Smartphone Kidney Test

by Fred Pennic 05/03/2023 Leave a Comment

Healthy.io Secures $50M to Expand Smartphone Kidney Test

What You Should Know: Healthy.io, the global leader in transforming the smartphone camera into a clinical-grade device, raises $50M in a Series D funding round led by Schusterman Family Investments and is joined by Aleph and other existing shareholders. This investment, together with a previously unannounced $45 million February 2022 investment, comprises the company’s Series D.The Series D round will support Healthy.io’s expansion across the U.S. market, where Minuteful Kidney™, the
Read More

Improving Non-Emergency Medical Transportation: Driving Better Outcomes for Patients and Health Plans

by Andy Auerbach, Chief Revenue Officer of SafeRide Health 05/02/2023 Leave a Comment

Improving Non-Emergency Medical Transportation: Driving Better Outcomes for Patients and Health Plans

As the healthcare industry continues to evolve, there is a growing need for innovative solutions that not only improve the quality of care but also make care more accessible. Non-emergency medical transportation (NEMT) plays a crucial role in helping patients get to where care is delivered. As healthcare reform efforts continue to gain momentum, transportation benefits have become an increasingly critical component of providing equitable care to patients. NEMT helps close the health equity gap
Read More

Expectations For The Connected Care Business In The Years Ahead

by Russ Johannesson, CEO at Glooko 05/02/2023 Leave a Comment

Expectations For The Connected Care Business In The Years Ahead

Though we seldom see their use in our modern world and, even then, only in fiction, there was a time when it was common for people to actually use things like crystal balls and divining rods to try to uncover unknown yet valuable information. As unbelievable as it may seem, soothsayers peered into crystal balls aiming to help seekers look into the future for guidance, while prospectors would rely earnestly on divining rods as they attempted to locate underground riches of water or oil. While
Read More

NCQA Launches Race and Ethnicity Stratification Learning Network

by Jasmine Pennic 04/26/2023 Leave a Comment

NCQA Launches Race and Ethnicity Stratification Learning Network

What You Should Know: - The National Committee for Quality Assurance (NCQA) today launched the Race and Ethnicity Stratification Learning Network, a free, interactive, online tool that offers data and best practices to help health plans improve how they collect race and ethnicity data on their enrollees. Improving data collection of race and ethnicity data is vital to improving health equity. - The data available in this new resource summarize the care of 20 million people
Read More

  • Go to page 1
  • Go to page 2
  • Go to page 3
  • Interim pages omitted …
  • Go to page 46
  • Next Page

Primary Sidebar

Subscribe to HIT Consultant

Latest insightful articles delivered straight to your inbox weekly.

Submit a Tip or Pitch

Featured Insights

2025 EMR Software Pricing Guide

2025 EMR Software Pricing Guide

Featured Interview

Paradigm Shift in Diabetes Care with Studio Clinics: Q&A with Reach7 Founder Chun Yong

Most-Read

Medtronic to Separate Diabetes Business into New Standalone Company

Medtronic to Separate Diabetes Business into New Standalone Company

White House, IBM Partner to Fight COVID-19 Using Supercomputers

HHS Sets Pricing Targets for Trump’s EO on Most-Favored-Nation Drug Pricing

23andMe to Mine Genetic Data for Drug Discovery

Regeneron to Acquire Key 23andMe Assets for $256M, Pledges Continuity of Consumer Genome Services

CureIS Healthcare Sues Epic: Alleges Anti-Competitive Practices & Trade Secret Theft

The Evolving Role of Physician Advisors: Bridging the Gap Between Clinicians and Administrators

The Evolving Physician Advisor: From UM to Value-Based Care & AI

UnitedHealth Group Names Stephen Hemsley CEO as Andrew Witty Steps Down

UnitedHealth CEO Andrew Witty Steps Down, Stephen Hemsley Returns as CEO

Omada Health Files for IPO

Omada Health Files for IPO

Blue Cross Blue Shield of Massachusetts Launches "CloseKnit" Virtual-First Primary Care Option

Blue Cross Blue Shield of Massachusetts Launches “CloseKnit” Virtual-First Primary Care Option

Osteoboost Launches First FDA-Cleared Prescription Wearable Nationwide to Combat Low Bone Density

Osteoboost Launches First FDA-Cleared Prescription Wearable Nationwide to Combat Low Bone Density

2019 MedTech Breakthrough Award Category Winners Announced

MedTech Breakthrough Announces 2025 MedTech Breakthrough Award Winners

Secondary Sidebar

Footer

Company

  • About Us
  • Advertise with Us
  • Reprints and Permissions
  • Submit An Op-Ed
  • Contact
  • Subscribe

Editorial Coverage

  • Opinion
  • Health IT
    • Care Coordination
    • EMR/EHR
    • Interoperability
    • Population Health Management
    • Revenue Cycle Management
  • Digital Health
    • Artificial Intelligence
    • Blockchain Tech
    • Precision Medicine
    • Telehealth
    • Wearables
  • Startups
  • Value-Based Care
    • Accountable Care
    • Medicare Advantage

Connect

Subscribe to HIT Consultant Media

Latest insightful articles delivered straight to your inbox weekly

Copyright © 2025. HIT Consultant Media. All Rights Reserved. Privacy Policy |