Katherine Moody

Articles by Katherine Moody

Insurers, providers balk at Covered California proposal

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.


Customers more satisfied where health plan competition is higher

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.


Private insurer-led ACOs continue to evolve, study says

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.


House v. Burwell ruling could wreak havoc on ACA marketplace

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.


Blues plans embrace telemedicine reimbursement

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.

Independence Blue Cross to cover telehealth visits

Philadelphia-based Independence Blue Cross is now offering coverage for some telemedicine consultations. 

Reasons to be optimistic about the new Medicare Part B payment models

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.


Insurers embrace home-care programs to manage patients' health

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.


At AHIP policy conference, leaders talk new payment models, drug prices

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. 

4 ways health insurers can move to a consumer-centric business model

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.