MedCity News

APRIL 25, 2023

healthcare system $290 million, or about $6,400 per patient, according to a report from the Commonwealth Fund. These costs are mostly covered by Medicaid and other government insurance programs. In just 2020, deaths from gun violence cost the U.S.

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World of DTC Marketing

MAY 2, 2021

SUMMARY: A new survey from the Kaiser Family Foundation and the Purchaser Business Group on Health shows signs that corporate executives might be warming to the idea of government getting more involved to rein in the excesses of the healthcare system. Meanwhile For Health Insurers. Big changes are coming.

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MedCity News

OCTOBER 25, 2024

How are employers tackling the current landscape of healthcare costs? We turned to Shawn Gremminger, CEO of the National Alliance of Healthcare Purchaser Coalitions, a group of regional coalitions representing self-insured employers large and small that cover roughly 40 million people.

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World of DTC Marketing

MARCH 8, 2021

SUMMARY: The media loves to blame pharma companies for high healthcare costs, but unless we start to invest in healthy lifestyles, we’re headed for a healthcare crisis the likes of which we have never experienced. This means higher healthcare costs. has the potential to tax our already burdened healthcare infrastructure.

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MedCity News

MARCH 19, 2024

Do you advise self-insured employers? The 2023 Benefit Consultant Sentiment INDEX offered robust insights and cast a spotlight on the evolving roles of employers as they navigate the changing healthcare landscape. Your insights offer leading, innovative points of view that can guide employers and peers.

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MedCity News

APRIL 19, 2023

Patients are struggling to find the right care, and that’s because the healthcare system is fragmented, according to Andrea Walsh, president and CEO of HealthPartners, an integrated healthcare provider and insurance company. Walsh made these comments Wednesday at the HIMSS 2023 conference in Chicago.

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World of DTC Marketing

JUNE 1, 2022

Five of America’s largest health insurers reported more than $11bn in profits in the second quarter – a decline from the same period last year when the Covid-19 pandemic helped drive sky-high profits yet they are having more of a say on patients’ treatments even when HCPs disagree. Then there is prior authorization.

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MedCity News

JANUARY 22, 2023

The healthcare navigation market — especially companies targeting self-insured employers — is fairly crowded. You […]

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MedCity News

JUNE 29, 2023

Experts suggest that the healthcare benefits landscape is evolving rapidly. Your participation in this research will ensure the report results will be a valuable resource for you and the healthcare industry as a whole. Tell us whether you agree or disagree and what you think may be driving these changes.

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MedCity News

JULY 25, 2022

The CEO of SCAN Health Plan has a message for others trying to battle health inequity: get out of the planning phase and learn by doing.

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World of DTC Marketing

JUNE 13, 2022

Sixty percent of employees in a recent survey reported experiencing healthcare cost increases that outpaced inflation in the past three years, and 63 percent expect that trend to continue, signaling potential cost challenges in the future. Right now, annual raises are being neutralized by increasing healthcare insurance premiums.

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MedCity News

NOVEMBER 1, 2022

Large employers, particularly self-insured companies, can demand a better and fairer system. They can use their contracting power to insist that their plans cover all FDA approved drugs.

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MedCity News

OCTOBER 11, 2022

Almost 40% of employers made changes to their retiree healthcare benefits in the last three years, while another 63% plan to in the next three three years, the Willis Towers Watson survey found. Some are looking to replace their traditional group plan offerings with individual insurance through a private marketplace.

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Healthcare Healthcare Insurance 284

World of DTC Marketing

JULY 27, 2022

Health insurers have started effectively stealing co-pay coupons, leaving patients on the hook for far higher expenses. Huge Insurance companies continue shifting costs onto patients, with disastrous consequences for individuals’ health and society. The problem is that PBMs are out for themselves and shareholders, not patients.

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MedCity News

NOVEMBER 28, 2022

Healthcare organizations need to have clear and specific goals in order to make real change in reducing health disparities, executives from SCAN Health Plan and CVS Health said.

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MedCity News

FEBRUARY 5, 2024

Employers have been making major investments in healthcare for their employees. Yet, many disparities still exist, particularly when it comes to access and outcomes, according to a recent report from Morgan Health.

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MedCity News

NOVEMBER 26, 2023

It’s time that policymakers, insurers and healthcare providers make pharmacogenomic testing a fundamental standard of care delivery. While current government and commercial efforts to negotiate competitive drug prices are important, this focus represents a minor—and misplaced—implementation of medication management.

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MedCity News

AUGUST 7, 2023

The major healthcare players have no incentive to bring costs down. Insurers, pharmacy benefit managers, and other healthcare interests profit by charging higher and higher rates. However, one entity has the scale and incentive to meaningfully lower costs: employer health plans.

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MedCity News

JULY 13, 2022

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.

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MedCity News

AUGUST 20, 2023

Employer-sponsored health insurance now costs approximately $12,000 per plan member per year. Accordingly, for many employers, healthcare and health insurance are the second largest company expense after payroll. The Head of Benefits is in charge of this expense and is in the best position to use it for positive change.

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MedCity News

OCTOBER 5, 2022

The insurer is expanding its offerings for its $0-premium Preferred Provider Organization plans and special needs plans for dually eligible beneficiaries. Alignment is adding 14 counties to its footprint, bringing its reach to 8.3 million Medicare-eligible adults in 52 markets.

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World of DTC Marketing

SEPTEMBER 17, 2020

IN SUMMARY: American healthcare is failing. While there are lots of reasons for this the silence of healthcare providers is a huge reason. If that doesn’t work then patients who are obese need to pay more for health insurance, plain and simple. So what’s being done? If I can do it others can too.

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World of DTC Marketing

OCTOBER 12, 2020

Of course, this comes at an increased cost even though health insurers are making a lot of money. Employees for the most part are happy with their health insurance but that happiness is going to come at a higher cost. The weight management services should be mandatory as obese employees are liable to cost companies and insurers more.

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MedCity News

AUGUST 26, 2022

It’s the first Medicaid contract for the company, which has primarily worked with schools and commercial insurers in the past. Pediatric teletherapy provider DotCom Therapy has been approved to accept Medicaid through Wisconsin’s BadgerCare Plus program.

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MedCity News

JANUARY 19, 2025

Its tragic that it takes a shooter, aggravated by his back pain and frustrated with the healthcare system, to spark a necessary conversation about healthcare. The post Zero-Sum Game: The Current Healthcare System Is Reaching a Breaking Point appeared first on MedCity News.

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World of DTC Marketing

DECEMBER 20, 2021

According to the Kaiser Family Foundation (KFF), in 2021, the average cost of employee health insurance premiums for family coverage increased by 4% from the previous year to $22,221. Why haven’t more employers addressed the rising costs of employee healthcare with value-based care? health care system.

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Referral MD

DECEMBER 9, 2024

Prior authorization is a pivotal component of healthcare, bridging the relationship between patients, healthcare providers, and insurance companies. While a physician may determine a treatment plan, they must get the insurers green light to ensure coverage. Why Does Prior Authorization Exist?

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World of DTC Marketing

AUGUST 19, 2022

The Inflation Reduction Act’s health insurance subsidies and drug pricing reforms will improve health care affordability for Americans but won’t do a damn thing for our overall healthcare costs, which will keep rising. A staggering 85% of healthcare costs in the U.S. One in 4 U.S. As the U.S.

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MedCity News

FEBRUARY 25, 2025

The post Automating Insurance Verification: A Game-Changer for Pre-Visit Payment Collection appeared first on MedCity News. The operational benefits of automated eligibility and payment workflows are clear, but its impact on people both patients and staff may be even more profound.

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World of DTC Marketing

JANUARY 3, 2022

11 of every healthcare dollar spent. And where is the healthcare industry in all this? 2wo: Insurers should strongly suggest to obese customers that they seek nutritional counseling and offer them fitness wearable devices with financial incentives to lose weight. The post The most significant threat to American healthcare.

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MedCity News

DECEMBER 23, 2022

UnitedHealthcare has recently introduced a set of three travel protection plans called SafeTrip, which offer healthcare insurance and trip cancellation coverage for Americans.

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World of DTC Marketing

JANUARY 1, 2022

Yes, there will be changes in healthcare in the coming years but put away the thoughts that telehealth and wearable devices will revolutionize healthcare. More and more patients demand a level of service they want with the increased costs of health insurance premiums. The post A realistic view of healthcare in 2022.

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MedCity News

APRIL 2, 2024

Interest in using GLP-1 drugs to reduce obesity combined with a desire by physicians to become less dependent on insurance-based reimbursement after the recent Change Healthcare cyberattack is building. The post How to Help Physicians Generate More Revenue and Make Their Patients Healthier appeared first on MedCity News.

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MedCity News

OCTOBER 24, 2024

Sach Jain, the CEO of Carrum Health, which helps self-insured employers manage their surgical care costs, had a sobering perspective at HLTH, a conference that celebrates innovation in healthcare. The post Video: Was Carrum’s CEO the Voice of Reason at HLTH? appeared first on MedCity News.

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MedCity News

JULY 9, 2024

Illinois, Kentucky, Oregon, Utah and Vermont have been authorized by HHS to provide Medicaid/Children’s Health Insurance Program coverage to those transitioning out of incarceration up to 90 days before they’re released. Several healthcare leaders called the action a necessary step.

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MedCity News

MAY 10, 2023

Learn how one healthcare benefit manager in the insurance space values virtual primary care.

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MedCity News

JULY 17, 2023

As of January 1, employer-sponsored Group Health Plans and Health Insurance Issuers must make make the prices of 500 medical services available via an Internet-based tool. The Transparency in Coverage final rule gets even tougher on January 1, 2024, when the prices of all medical services must be made available via an Internet-based tool.

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