health insurance
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Devices & Diagnostics, BioPharma, Payers
Like it or not, value-based contracting is coming for drugs and medical devices
Value-based contracts covering the reimbursement of drugs and medical devices are slowly gaining acceptance. A panel at the MedCity News INVEST conference discussed the challenges and opportunities for these contracts, which aim to improve patient outcomes and control the cost of care.
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MedCity Influencers, Legal, Policy
Implications for the Affordable Care Act under the Biden administration
Unless the Supreme Court strikes down the ACA, it will remain in place for the foreseeable future and will see expansion.
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Payer’s Place: Dr. Anil Singh
Dr. Anil Singh shares his insights into the strategies employed by the organization to identify the most effective digital solutions for their members.
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Short seller targets insurance startup Clover in scathing report
After a scathing report from short-seller Hindenburg claiming that Clover faced a False Claims Act investigation, the insurance startup’s stock plummeted. Clover went public last month after merging with a special-purpose acquisition company under billionaire investor Chamath Palihapitiya.
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Health issues carried weight on the campaign trail. What could Biden do in his first 100 days?
PolitiFact and Kaiser Health News teamed up to analyze Biden’s promises during the 2020 presidential campaign and will monitor his policies over the next four years to see which ones materialize.
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Starship brings gig economy focus to health savings accounts
Starship, a startup making Health Savings Accounts easier to use, has seen an influx of users since the start of the pandemic. In the first six months of 2020, the company saw 500% growth in active accounts and plans to double its membership again by the end of the year.
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Clover, Walmart launch Medicare Advantage plans in Georgia
The plans will include zero-dollar premiums and will give patients access to free primary care visits, dental exams and lab tests at Walmart Health centers across the state.
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Blue Cross Blue Shield Plans To Settle For $2.7B… And That’s Not The Most Important Relief
After seven years, David Boies eyes the finish line for his clients in the Blue Cross Blue Shield class action.
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Today at INVEST Digital Health virtual Day 3: A debate on the future of health insurance
Venture capitalist Michael Yang, Managing Partner, OMERS Ventures, and healthcare entrepreneur Shawn Wagoner, Chief Revenue Officer, Bind Benefits, will debate how the future of health insurance can be reimagined and the limits to doing that. It will be followed by a networking event on the Remo platform.
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Discover the Next-Gen Platform for Integrated Collaborative Care
Beyond EHRs and digital front doors, reducing the gaps in patient care journeys.
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Cigna to offer ACA marketplace plans in 79 new counties
Cigna plans to add marketplace plans in 79 new counties next year, part of a planned expansion on the individual exchanges.
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Verily launches stop-loss health insurance subsidiary
Alphabet’s healthcare subsidiary, Verily, will partner with Swiss Re Corporate Solutions to create a new stop-loss insurance company. The new entity, called Coefficient, will use data analytics to help self-funded companies manage unexpected areas of cost.
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UnitedHealth Group sees profits double due to Covid-19
UnitedHealth Group saw its earnings nearly double to $6.6 billion during the second quarter, as fewer patients sought out appointments or non-essential procedures due to the pandemic.
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Pharma, Retail Health, Health Services, Payers
Walmart confirms a new avatar — it’s also a health insurance agency
Walmart quietly launched a new health insurance business. The company, called Walmart Insurance, was filed with the Arkansas Secretary of State last month.
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What health plans must know about telehealth’s immediate impact on risk adjustment
When CMS approved telehealth as a means for health plans to gather risk adjustment data it made the right move, as it is critical for Medicare Advantage (MA) plans to stay on track with risk adjustment.
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Founder of Microsoft Healthcare comes up with plan to reduce hidden insurance costs
Health Rosetta Founder Dave Chase developed a method to help self-insured companies reduce healthcare costs. The company also certifies insurance brokers to better represent companies’ best interests in designing health plans.