For years, the healthcare industry has been abuzz with the concept of “consumerism” and the potential implications to insurance companies, providers and patients. Stakeholders from across the industry have opined on what it means create a healthcare system more focused on consumers, often with little impact to actual consumer experience or outcomes.
One spot of genuinely consumer-centric innovation and execution is in the Medicare Advantage (MA) space, where select health plans can offer
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Medicare Insurance| Regulatory, Policy, Patients Analysis, Insights - HIT Consultant
Top 10 Challenges, Issues and Opportunities Healthcare Executives Will Face in 2020
- The HealthCare Executive Group unveils its annual 2020 HCEG top 10 critical challenges, issues and opportunities healthcare executives expect to face in 2020.
- Over 100 C-Suite and director level executives were presented with a list of over 25 topics. Initially compiled from webinars, roundtables and the 2019 Industry Pulse Survey.
After 2.5 days of facilitated interactive discussions during
this week’s HCEG Annual Forum in
Boston, over 100 healthcare c-suite and director level
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Montana Awarded $19M Grant for Statewide Health Information Exchange
- CMS awards the state of Montana with a $19M grant to support a statewide health information exchange (HIE).
- Montana Governor Steve Bullock names Big Sky Care Connect as the operator of the statewide HIE.
- Big Sky Care Connect plans to start sharing healthcare data in 2020.
Montana Governor Steve
Bullock announced
the state has received $19 million from the Centers for Medicare and Medicaid
Services (CMS) to support a statewide health information exchange (HIE). The
funding
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4 Areas Where Big Data is Transforming Healthcare Right Now
Leveraging technology in the right ways can make or break the future of healthcare. One of the ways that healthcare will become more efficient, more affordable, and save more lives is through the use of big data.
What is Big Data?
Big data refers to a large amount of information being digitized, consolidated, standardized, analyzed and modeled. In healthcare, big data uses specific statistics from a population or an individual to research new advancements, reduce costs, and even cure or prevent
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Prudential Financial Acquires Insurtech Startup Assurance IQ, for $2.35B
- Prudential Financial acquires insurtech startup Assurance IQ for a total upfront consideration of $2.35 billion, plus an additional earnout of up to $1.15 billion in cash and equity.
- Assurance will become a wholly-owned subsidiary of Prudential under the U.S. Businesses division.
- Assurance will add a large and rapidly growing direct-to-consumer channel to Prudential’s financial wellness businesses, significantly expanding the total addressable market of both
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Aledade, The Physicians Integrated Network Forms Value-Based Care Collaboration in Greater Philadelphia
- Aledade ACOs and the Physicians Integrated Network (TPIN) join forces to improve care coordination, quality of care, and patient health outcomes
- Under the value-based care agreement, and TPIN’s leading network of independent specialists have agreed to a care compact and intend to explore additional opportunities for clinical collaboration across all payers.
- TPIN’s network is made up of 700 physicians practicing in 24 clinical specialties throughout greater Philadelphia, Delaware
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Capital Rx Launches Clearinghouse Model to Bring Price Visibility to Prescription Drug Costs
Quick Glance- Capital Rx launches new innovative Clearinghouse Model, a new pricing framework that will itemize the actual unit cost for all drugs for the first time- The Clearinghouse Model will eliminate price variability for customers, ensuring that drug costs are the same for all customers.- Pharmacies in its retail network, which includes chains, like Walmart, Walgreens, to grocers and independent pharmacies, will be able to deliver the lowest prescription prices to customers.- While rising
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Top 5 Factors Impacting the US Population Health Management Market
The North American Population Health Management (PHM) reached the $4 billion milestone for the first time in 2018, despite growth slowing for the second consecutive year. With the US provider market consolidating and vertical integration increasing, vendors are having to adapt their offerings to keep up with changing needs. Here is our take on the five trends that will impact market growth over the coming years:
1 – A Market Still Maturing
As the market has evolved, providers are taking
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How Will FY2020 IPPS Proposed Rule Affect Hospital CDI Programs?
In April, Centers for Medicare and Medicaid Services (CMS) released the fiscal year (FY) 2020 inpatient prospective payment systems (IPPS) proposed rule. The proposed rule notably includes approximately 1,500 complications or comorbidities (CC)/major complications or comorbidities (MCC) designation changes and 324 changes to International Classification of Diseases (ICD)-10-CM codes, along with several other updates. The designation changes are an effort to respond to the notion that the
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Telehealth Adoption: Convenience & Cost Drive Adoption For Consumers
Convenience and cost are the key drivers of telehealth adoption for American consumers, but lack of awareness is an issue, according to recent findings from American Well’s Telehealth Index: 2019 Consumer Survey. Telehealth leader American Well commissioned Harris Poll to conduct an online study among over 2,000 adults to measure usage and sentiment toward telehealth. The results are weighted to be representative of the American adult population across standard demographics.Majority of Consumers
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