March 14th 2024
After years of efforts to reduce low-value care, panelists at the 2024 Value-Based Insurance Design Summit proposed a new strategy: drawing a line in the sand that payers will not be on the hook for these services.
Scott Hewitt Explains Growing Interest in ACOs Among Commercial Payers
January 27th 2019There has been great engagement in accountable care organizations (ACOs) because ACOs offer a level of coordinated care that patients are looking for, explained Scott Hewitt, vice president, payment strategy and innovation, UnitedHealthcare.
Watch
Digital Health Promises Remain Unfulfilled for High-Need, High-Cost Populations
January 8th 2019This week, companies are showcasing digital health at conferences in Las Vegas and San Francisco, but when it comes to alleviating disease burden or the cost of care for vulnerable populations, the promise of digital health is not yet fulfilled, according to a study published in Health Affairs.
Read More
Coalition Agrees on Need to Protect Patients From Surprise Medical Bills
December 10th 2018Nine organizations representing health insurance companies, consumers, and businesses announced Monday that they support the concept of federal legislation to protect patients from receiving surprise medical bills.
Read More
Engaging Employees in Health Benefit Design Increases Satisfaction With Coverage Options
November 21st 2018During a case study, employees were more willing to have less robust coverage in areas like dental, vision, and diagnostic benefits so that the group could have access to more comprehensive mental health and maternity services.
Read More
Premiums for Employer-Sponsored Family Insurance Increased 5% in 2018
October 10th 2018According to the 2018 benchmark Kaiser Family Foundation Employer Health Benefits Survey, annual premiums for family and single coverage have increased in 2018 and the burden of deductibles continues to grow on employees. However, as premiums rise, so does employer investment in health and wellness programs for their employees.
Read More
Employers Take a Vested Interest in Healthcare
October 3rd 2018Employers may not look forward to purchasing healthcare, but they are in the position to transform the market. More employers are getting more involved in healthcare by championing alternative payment models and other services to their employees.
Listen
Dr Suzanne Delbanco: Employers Have a History of Pushing for Healthcare Transformation
September 26th 2018Since they foot the bill for a lot of Americans’ healthcare costs, employers have a lot vested in the health of their populations and have been involved with pushing for healthcare transformation, said Suzanne Delbanco, PhD, MPH, executive director of Catalyst for Payment Reform.
Watch
Survey: Women Lack Confidence in Insurers, Employers to Meet the Needs of People With Migraine
September 17th 2018The survey of more than 340 women revealed an overwhelming belief that people with migraine are dismissed as exaggerating their symptoms and that employers don't understand the burden of migraine on their employees.
Read More
Percent of Employers Offering Health Coverage Increases for First Time Since 2008
August 31st 2018New research from the Employee Benefit Research Institute has found that although there was some erosion in health insurance offered by employers after the implementation of the Affordable Care Act, the percentage of private-sector employers offering health benefits increased in 2017 for the first time since 2008.
Read More
Employers Actively Exploring, Offering New Ways of Delivering Healthcare to Employees
August 10th 2018In a survey of 170 employers, employers indicated that they are taking a more activist role in delivering healthcare to their employees, expressed frustration with the pharmaceutical supply chain, and said they expect to see a large uptake of virtual healthcare in the coming years.
Read More
Value-Based Payment Models Not Yet Reaching Full Potential, Study Says
June 26th 2018A new study from the Healthcare Financial Management Association, Leavitt Partners, and McManis Consulting found that the penetration of value-based payment (VBP) models is not yet enough to generate cost savings and is also not affecting clinical quality outcomes at the market level.
Read More
David Merrill and John Robinson Discuss Barriers to APMs, Factors of Interest
January 15th 2018The ability to have a plan that’s going to work and be large enough that it makes sense for those involved is a barrier for employers who want to pursue alternative payment models, said David Merrill, HR benefits manager, Volusia County, Florida, and John Robinson, CEBS, REBC, RHU, president and CEO, RobinsonBush.
Read More
CMS Finalizes Changes to Joint Replacement Bundles; Verma Promises Shift to Voluntary Models
December 1st 2017Scaling back the Comprehensive Care for Joint Replacement model and canceling an expansion proposed under the Obama administration represents a shift in philosophy from mandatory to voluntary bundled payment models. But some say that commercial payers and employers will demand change no matter what CMS does.
Read More
Brian Marcotte Gives Recommendations for Employers Considering ACOs
October 17th 2017Brian Marcotte, president and CEO of the National Business Group on Health, offers recommendations for employers that are considering accountable care organizations (ACOs) and describes situations when an ACO is not a good fit.
Watch
How Employers Can Take Initiative to Reduce Costs, Improve Employee Care Experience
September 29th 2017Employers have started to focus on fulfilling opportunities to control costs and supplying more services to help employees understand their treatment options and the healthcare system as a whole, explained Brian Marcotte, president and CEO of the National Business Group on Health.
Watch
Brian Marcotte on Employers' Understanding of ACOs
August 20th 2017Employers understand what accountable care organizations are, but they need a better understanding of how they deliver value better than the market, explained Brian Marcotte, president and CEO of the National Business Group on Health
Watch
Dr Bruce Quinn on Cutting-Edge Medicine and Employers' Role in Health Management
November 16th 2016Reimbursement is not an issue for basic cancer tests, but questions surround the payment and guidelines for more cutting-edge medical innovations, said Bruce Quinn, MD, PhD, a consultant at Foley Hoag. He added that the role of employers in health management is not changing as quickly as we may think.
Watch
Ted Kyle Emphasizes a Greater Need for Obesity Education for Employers
November 3rd 2016Obesity is more than just a lifestyle disease. Ted Kyle, RPh, MBA, principal at ConscienHealth, explained that understanding its complexities as well as the behavioral and physical care it requires is essential in improving the health and productivity of employees.
Watch
Employers Express Their Concerns With Cancer Care at the COA Summit
October 26th 2016At the Payer Exchange Summit V, sponsored by the Community Oncology Alliance (COA), 2 employer groups and a provider participated on a panel to provide practical insight into the extraordinary challenges and decisions faced by employers and employees with a cancer diagnosis.
Read More