Report
| AUG 3, 2022
Providers’ and health insurers’ SDOH investments are growing alongside healthcare’s shift to value-based care. Measuring the impact of this work is challenging but will be necessary to improve health outcomes and lower medical spending.
Article
| JUL 12, 2022
It’s rebranding to Twill and combining its digital therapy solutions as DTx makers pivot away from point-solutions to provide more precise care for pharma cos, employers, and insurers.
Article
| FEB 15, 2022
Article
| FEB 9, 2022
It wants to target insurers next, but most large insurers like Aetna already have their own employer-focused telehealth ventures.
Article
| JAN 31, 2022
Article
| JAN 26, 2022
Report
| MAR 25, 2021
This report explains the rise of tech-focused SDOH initiatives among US health insurers and hospitals, unpacks how these entities’ heavier focus on SDOH has ushered in opportunities for digital health vendors and tech companies operating at the periphery of healthcare to help address nonclinical health gaps, and lays out the factors driving the prioritization of SDOH and inhibiting these efforts’ growth.
Report
| MAY 20, 2022
Point-of-service compensation is just one link on the healthcare payment chain for providers (pre- and post-service payments and sending claims to insurers are others), but getting paid on-site helps remove revenue insecurity and reduces delays in collections.
Report
| APR 12, 2022
SilverCloud has an impressive roster of health system and insurer clients, bringing those organizations into Amwell’s business. Regulatory pathways for DTx have widened during the pandemic, making them more accessible.
Report
| DEC 9, 2021
Employers and insurers can leverage digital health solutions to help neutralize the key drivers of their health costs. Providers can utilize apps to help manage their patients’ conditions remotely, thus enhancing the value of in-person interactions and improving productivity. Employers and Insurers.
Report
| OCT 6, 2021
Several of these companies are targeting insurers’ value-based programs that emphasize primary care at their core. This is an important development, as primary care has traditionally been mostly based on an FFS model in which insurers pay providers for every patient they see and each service they perform—such as a test or procedure.
Article
| JUL 1, 2022
Unlike online retailers like Amazon, Tomorrow Health partners with insurers and providers who offer referrals. Tomorrow Health tracks every step of at-home care, including prescriptions, payer billing, and fulfillment. The startup nabbed 125 partnerships with health plans and health systems. For example, in 2021, it teamed up with large regional insurer Geisinger Health Plan (GHP).
Article
| MAY 26, 2022
A health plan’s website or app is often the first thing people turn to for information—a key piece of real estate insurers need to use to help consumers understand their out-of-pocket costs. Insurers don’t just have to be transparent about costs, though—they need to make it explicitly clear what a patient is responsible for.
Article
| JUN 15, 2022
For example, it doesn’t have to spend on all the administrative functions traditional insurers do (like negotiating prices with providers and processing claims). Since it doesn’t have to deal with middlemen like insurers, Sesame can also be transparent about appointment prices.
Article
| JUL 22, 2022
That means it would make the most sense for Amazon to acquire a health insurer like Humana to complete its care ecosystem. Having an insurer under its belt could help Amazon compete with retail players like CVS, Walmart, and Walgreens. So far, CVS is the only major retailer to bring a legacy insurer like Aetna under its roof in a whopping $69 billion deal finalized in 2018.
Article
| JUL 11, 2022
Although hospitals are lagging on posting CMS-mandated prices for their procedures, it appears insurers are ahead of the game. Payers like United Healthcare and Anthem have already posted their rates online.
Article
| JUL 18, 2022
Zooming out: Legacy insurers like UHG will need to address the effects of inflation and economic downturn. That could mean higher costs for customers or in-network providers. During UHG’s Q2 call, Brian Thompson, CEO of UHG’s UnitedHealthcare, said the company’s “forward view of cost includes inflation.”
Article
| AUG 4, 2022
For context, Signify Health’s cloud platform connects physician practices and health systems to health insurers to identify patients’ health risks and improve health outcomes. How we got here: Last month, Signify exited the CMS' bundled payments program—a big part of its business.
Article
| MAY 13, 2022
The formation of an even larger health system gives Advocate Health greater negotiating power with insurers, meaning it can score more favorable contracts and boost its financial goals. One thing to consider: For patients, this merger could mean price hikes.
Article
| JUN 6, 2022
Medicaid reimburses providers at much lower rates than commercial insurers or Medicare Advantage. This makes it difficult for care providers that accept Medicaid to generate high revenues. It’s also more difficult to maintain a long-standing primary or mental health care engagement with Medicaid alone.
Article
| OCT 19, 2021
UnitedHealthcare’s new virtual-first health plan is one of many we expect from insurers in the year ahead: The nation’s largest insurer rolled out a virtual-first health plan that touts greater access to care at lower costs—key reasons why other insurers will follow suit.
Article
| JUN 7, 2022
It profits when the primary care practices demonstrate cost savings to insurers. Aledade claims a 1% increase in savings rate attained by Aledade’s physician can generate $100 million in revenues. The bigger picture: Organizations like Aledade work with independent practices to save them from selling to health systems or a private equity firm.
Article
| JUN 10, 2022
It mandates healthcare providers to clearly post the rates for all their services that they negotiated with insurers. But providers and health systems found it difficult to comply with the price rules. Only around 14.3% of the 1,000 hospitals reviewed were complying with the rule, per PatientRightsAdvocate.org’s February 2022 analysis. That’s up slightly from 5.6% in July 2021—but it’s still low.
Article
| JUN 28, 2022
Digital health startups’ customers—typically employers, insurers, and providers—will need “to demand greater validation for the products and services they purchase,” according to the study’s researchers. The bottom line: Digital health startups have an opportunity to distinguish themselves by standing up to the test of clinical rigor and proving that their high valuations are deserved.
Article
| APR 21, 2022
Amwell’s MSK program is a virtual MSK care solution employers and insurers can offer as a benefit. The program makes physical therapy more accessible and helps insurers and employers minimize the high costs associated with MSK conditions. Amwell’s Dermatology program lets users access virtual dermatology visits at lower costs for insurers and health plans.