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Beyond workout apps: The ROI of well-crafted wellness programs

Both health insurers and employers have a stake in driving down healthcare costs for their member populations. Increasingly, businesses are turning to payers to design wellness programs to aid in the effort.

But it's not as simple as handing out activity trackers or launching a member wellness portal. Every company is different and there are many ways to measure success. 

FierceHealthPayer spoke to three health insurance executives to find out how they're designing wellness programs--and how they're demonstrating their value to customers.

Nine South Florida hospitals sue HMO for failure to pay $88 million in emergency services

Nine hospitals in south Florida have sued Molina Healthcare for $88 million, saying it didn't fully reimburse them for emergency services provided to its members.

Humana, Cleveland Clinic CEOs: Payer-provider collaboration benefits MA members

In the effort to improve outcomes and control costs for beneficiaries in its Medicare Advantage program, a major payer and major provider have found collaboration is key, according to a Forbes contributed post by Humana CEO Bruce Broussard and Cleveland Clinic CEO Toby Cosgrove, M.D.

 

Obama aims to ramp up enforcement of mental health parity law

The Obama administration's latest effort to tackle the opioid abuse crisis includes a renewed attempt to compel health insurers to provide adequate coverage of mental health and substance abuse treatments.

 

Schools, low-wage employers offer pathway to enrolling uninsured

More than one-third of the nation's uninsured are eligible for low-cost healthcare through Medicaid or substantial tax credits, making it a promising group for targeted outreach efforts to reduce the rate of uninsured individuals, according to an Urban Institute report.

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