Population health management is a vital part of an insurer's overarching goal to lower costs and improve quality care. At Horizon Blue Cross Blue Shield of New Jersey, population health means partnering with providers to offer valuable claims information to help them better manage patients with expensive chronic conditions. To learn more about how Horizon has successfully managed its population's health, FierceHealthPayer spoke with Steven Peskin, Horizon's senior medical director for clinical innovations.
Establishing new national high-risk pools like the pre-existing condition insurance plan under the Affordable Care Act isn't a good alternative to expanding ACA coverage. That's because insurance works best when payers can spread risk evenly across a large population, according to a new issue brief from the Commonwealth Fund.
Almost 90 percent of the 30 million uninsured Americans won't face a penalty due to an increase of exemptions in the healthcare reform law, which leaves insurers to worry about their risk pools, reports the Wall Street Journal.
The Affordable Care Act's temporary insurance program for high-risk patients is finally ending as planned--after three extensions.
Now that the U.S. Department of Health & Human Services has extended high-risk pools for an additional two months until March 31, insurers may find it challenging to calculate and set rates for the next open enrollment period.
High-risk pools, once predicted to be extinct in the post-reform insurance market, might live to see some more days after all of the technical problems with the federal health insurance exchange.
Almost 25 percent of adults between 19 and 64 years old--or 48 million people--lacked health insurance last year, and almost 70 percent of those adults lacked health coverage for more than a year,
The Obama administration began work on Friday to provide "immediate relief for potentially millions of Americans with pre-existing conditions, like diabetes or high-blood pressure, who have been shut