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health insurance
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Integrating Workers’ Comp and Medical Benefits Makes So Much Sense
The current dual-system model is inefficient, wasteful, and inconvenient. There is a clear need to integrate workers’ comp and medical benefits programs to cut down on costs and alleviate the hassle of dealing with separate care silos. It’s possible, and its time has come.
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Have Insurtechs Truly Disrupted the Mainstream Health Insurance Industry?
Insurtechs like Bright Health Group, Clover Health and Oscar Health set out to disrupt health insurance — but have they actually done so? Not in a positive way, several experts say.
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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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Survey: 58% Of Americans Had at Least 1 Issue With Health Coverage In the Last Year
Many insured Americans reported challenges with their insurance coverage in the last year, especially those in poorer health and those with mental health conditions, a KFF survey found.
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Digital Health Insurance Provider Angle Health Pulls in $58M
The $58 million funding round was led by Portage and included participation from PruVen Capital, Wing Venture Capital and others. With the funding, Angle Health plans to expand into additional markets and grow its membership.
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Oscar Health: State of the Economy Is Top Health Concern for Consumers
An Oscar Health survey found that about 93% of respondents are “extremely,” “very” or “somewhat” concerned about the state of the economy. Another 44% of respondents listed the economy as their top healthcare concern.
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Report: Health Insurance Is Influencing Americans’ Job Choices
More than 31% of people with employer-sponsored insurance stuck with a job they disliked for the company’s health insurance, a Forbes Advisor survey found. Another 8% of respondents left a job they liked to seek better coverage.
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KFF: Modest increases in premiums likely won’t last for long
Average annual premiums in 2022 reached $7,911 for single coverage and $22,463 for family coverage, the KFF survey showed. This is only a slight increase from last year at $7,739 and $22,221, respectively.
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‘It’s creating change’: How some startups are circumventing payers
Many startups are giving patients options to receive care that cuts out insurers. This includes online pharmacies, direct primary care platforms and lending companies. These startups are creating change among payers, some experts say.
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10 highest-paid CEOs of health insurance companies
Notably, in the list, the so-called disruptors of the insurance industry are the ones whose CEOs appear to be winning financially even though their stock performance has left much to be desired.
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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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HealthEdge survey: Costs are top-of-mind for health plan leaders
When asked what their biggest difficulties are today, 46% of payer leaders said managing costs and 41% said driving operational efficiencies. The reason for this could be increasing claims volumes from the Covid-19 pandemic, rising costs from people delaying care and the use of outdated systems, the survey said.
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Employees want help with their health benefits, survey finds
Many employed Americans misunderstand their health insurance plans, and 72% want someone to just tell them what the best plan is for their specific needs, the survey found.
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Consumer / Employer, Legal, SYN
1 in 5 Americans received surprise bills despite law, many lack health insurance literacy, reports find
Skyrocketing medical bills and a lack of understanding in the healthcare system is putting financial stress on Americans in 2022, several recent reports have found. Despite the No Surprises Act, which protects consumers from surprise billing, many Americans said they’re still receiving unexpected bills, and a low healthcare literacy is making it difficult for them to know how to handle high medical bills, the surveys find.
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How payers are playing a part in new value-based outcomes strategies
Value-based healthcare puts the focus on patient outcomes, but payers have a part to play as well. A panel at MedCity News’ INVEST conference discussed how reimbursement strategies can improve patient care and reduce costs.
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Federal report: Mental health coverage is still not on par with other benefits
Acting Assistant Secretary for Employee Benefits Security Ali Khawar vows to do whatever is necessary, including suggesting Congress authorize fines, to finally bring insurers into compliance with the 2008 mental health parity law.