Articles by Katherine Moody
In a proposal that has concerned both providers and payers, Covered California Executive Director Peter Lee says he wants to cut low-performing, high-cost hospitals from ithe state exchante's insurance networks, according to an article from Kaiser Health News published by NPR.
Consumers were most satisifed with their health plans in markets where there was more competition, but they also favor having to make fewer choices when it comes to their health plan options, according to the J.D. Power 2016 Member Health Plan Study.
Accountable care organizations run by private insurers have matured in their efforts to boost quality and lower costs, but shared risk plays an increasing role in changes to reimbursement models, according to an analysis from the American Journal of Managed Care.
A lawsuit brought by the House of Representatives that challenges the financing of the Affordable Care Act's cost-sharing reductions could put 7 million Americans' subsidies in jeopardy and therefore risk destabilizing the entire ACA marketplace, according to a report from The Commonwealth Fund.
In an attempt to bring more convenient healthcare options to their members, Blue Cross Blue Shield plans across the country are starting to reimburse more telemedicine services.
Philadelphia-based Independence Blue Cross is now offering coverage for some telemedicine consultations.
The federal government's new Medicare Part B payment model proposals have stirred up considerable controversy, but the tests may actually be worth a try in order to tackle the spiraling costs of prescription drugs, according to an opinion piece from STAT.
While insurers increasingly turn to at-home care management programs to improve the health of their senior members and keep them out of the hospital, but some officials are concerned that the trend might be an attempt by insurance companies to maximize reimbursement, according to an article from the Tampa Bay Times.
During America's Health Insurance Plans' National Health Policy Conference, AHIP President and CEO Marilyn Tavenner said the private sector is taking the lead in the effort to provide better value in the healthcare system.
Healthcare under the Affordable Care Act is becoming more customer-centric, and if insurance companies want to succeed, they must move from a purely transactional relationship with their members toward a customer-first relationship, according to an article from Advertising Age.