Topic:
Quality Improvement & Outcomes
Latest Headlines
Latest Headlines
WellPoint's primary care program gets warm reception from docs
Ever since WellPoint launched its unique and innovative patient-centered primary care program in January, the nation's second largest insurer says doctors already are providing positive...
Do payers share enough data with ACO partners?
Providers are beginning to sound alarms that some payers aren't providing adequate or high-quality claims data, making that information unusable.
UnitedHealth plagued by complaints since assuming Tricare contract
UnitedHealth is facing scores of complaints, including long backlogs for members to reach customer service and delays in providers obtaining referrals, since taking over a huge $20 billion contract to provide coverage to the western region of Tricare.
Michigan Blues reaches value-based payment agreement with Trinity hospitals
Blue Cross Blue Shield of Michigan has reached a new value-based reimbursement model with Trinity Health-Michigan that aims to reduce premiums while coordinating care, calling it a first-of-its-kind arrangement that focuses on value, efficiency and improved population health.
Humana fires lobbying firm tied to alleged Medicare Advantage rate leak
Humana has fired its lobbying firm that has been allegedly tied to a leak about Medicare Advantage payment rates, which lead to soaring shares of Humana, UnitedHealth and Aetna after the news was released.
Insurers pay $39K more for surgical errors
If insurers better motivated hospitals through financial rewards to provide high-quality care--and decrease surgical mistakes, in particular--they could save a lot of money.
UnitedHealth teams with providers to evaluate medical devices
UnitedHealth, along with three provider organizations, has launched a first-of-its-kind initiative to independently measure the effectiveness of medical devices.
Michigan Blues joins statewide health information exchange
Blue Cross Blue Shield of Michigan has become the first insurer to join the state's health information exchange.
How Independence Blue Cross is changing the medical home landscape
When Independence Blue Cross launched its patient-centered medical home program three years ago, it set out to reach a lofty goal--transforming every primary care provider into a fully functional...
Humana execs: Reform implementation is 'bumpy road'
Despite all the regulations that have been published in the last few months and all the conversations about the health reform law, Humana's chief executive and other company officials warn many questions remain unanswered.
