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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.
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BCBS members were sicker and more expensive following ACA expansion
Blue Cross Blue Shield health plans saw higher rates of chronic illness and access to medical care after provisions of the ACA expanded coverage to more Americans.
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Price matters for ACA exchange customers--but it isn't the only factor
Last year, 80 percent of consumers chose bronze or silver health insurance plans--the two lowest-cost tiers--but many did not select the cheapest plan within those tiers, according to a new report.
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Health insurers: With great power over data comes great responsibility
Even though I've long since accepted that privacy is a myth in the digital age, it's unsettling to realize just how unaware we are about who is selling what data about us to whom. So I was fascinated to read in a report out this week from IDC Health Insights about what author Jeff Rivkin calls the "shadow of the creep factor" when payers engage with members. The "creep factor," the report says, can emerge both in how a company personalizes interactions with a customer and which interactions it chooses to personalize. Read more...
TOP HEADLINES
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.
From Our Sister Sites
Guest post by S cott Kashman, chief administrative officer of Cape Coral Hospital, part of the Lee Memorial Health System in southwest Florida. Have you ever invited people over to our home? Of...
The attack paralyzing MedStar Health's computer systems is the result of ransomware, both the Baltimore Sun and CBS Baltimore are reporting.
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