PatientEngagementHIT

Healthcare Payers

Despite Coverage Gains, Underinsurance Hampers Patient Care Access

February 11, 2019 - Although more patients have access to health insurance, fewer have access to quality, comprehensive health plans just eight years after the passage of the Affordable Care Act (ACA), posing a threat to patient care access, according to the Commonwealth Fund’s Biennial Health Insurance Survey. The survey – which aims to establish the insured rate, the number of patients...


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Health Plans Need Patient Data for Future of Patient Wellness

by Sara Heath

The healthcare industry is continuing to evolve in a more consumer- and patient-centric direction, requiring key stakeholders to adopt hyper-personalized engagement strategies. For healthcare payers, this will requires a deep understanding...

91% of Docs Say Prior Authorization Delays Patient Care Access

by Sara Heath

Prior authorizations are leaving patients waiting up to three days or longer to receive certain treatments, causing critical patient care access delays and potential adverse patient safety events, according to a new survey from the...

Payers Fall Short in Effective Beneficiary Communication

by Sara Heath

Healthcare payers’ beneficiary communication efforts leave a lot to be desired, as organizations let considerations for low patient health literacy and other best practices fall by the wayside, according to a recent report from...

Out-of-Pocket Insurance Costs Challenge Pre-Medicare Patients

by Sara Heath

The out-of-pocket costs of health insurance coverage is daunting for older adults who don’t yet qualify for Medicare, posing insurance and treatment access issues for this population, according to a recent AARP/University of Michigan...

ACA Ruling Jeopardizes Patient Care Access, Access to Coverage

by Sara Heath

Healthcare industry leaders have concerns about patient care access and patient access to payer coverage in light of the recent rulings on the Affordable Care Act (ACA), although most experts are confident in an eventual appeal. Late last...

Insured Patients See High Premiums, Out-of-Pocket Healthcare Costs

by Sara Heath

Middle-income families spend 11 percent of their annual incomes on out-of-pocket healthcare costs and insurance premiums and deductibles, according to a recent report from the Commonwealth Fund. Using data from the federal Medical...

Patient Care Access Key as Patients Report Pre-Existing Conditions

by Sara Heath

More than one in four Americans have a pre-existing condition that would impact patient access to health payer coverage, according to a recent Gallup poll. These results shed more light on the national debate about pre-existing conditions...

Payer Program Addresses Loneliness as Social Determinant of Health

by Sara Heath

Cigna is joining the fight against patient loneliness, a key social determinant of health, by offering a patient-facing survey and personalized health improvement recommendations on its website. Using a 10-question version of the UCLA...

Low-Cost Health Plans Come with High Deductibles, Patient Spending

by Sara Heath

Low-income patients can access a health plan with little to no out-of-pocket cost on the ACA health insurance markets, but these plans come with a catch, according to new data from the Kaiser Family Foundation. These subsidized health...

Health Payer Preventive Care, ED Denials Hamper Patient Care Access

by Sara Heath

Health payers are denying coverage for preventive care screenings and emergency department (ED) care at a high rate, according to patient advocacy group Doctor-Patient Rights Project (DPRP). In doing so, payers are hindering patient care...

How Payers Use Data Analytics for Personalized Member Experience

by Sara Heath

As the health payer industry has continued its focus on improving patient engagement and member experience, experts have observed a need for more personalized and simplified medicine. And for Firdaus Bhathena, Chief Digital Officer at...

Health Payer Incentive Program Supports Patient Drug Price Shopping

by Sara Heath

UnitedHealthcare has announced plans to offer a rewards program for patients who seek out lower-cost drug options. This comes as part of the health plan’s efforts to put a cap on prescription drug spending and empower patients to...

Premiums, Deductibles Increase as Patient Healthcare Costs Rise

by Sara Heath

Healthcare costs are continuing to be burdensome for patients, even when patients have health payer coverage, according to a recent survey from the Kaiser Family Foundation. More patients have health plans with a deductible, meaning the...

Payer Awards $2M for Social Determinants of Health, Community Health

by Sara Heath

The Aetna Foundation has awarded nearly $2.4 million in grant funding to 25 non-profit organizations working to address the social determinants of health. These grants come as a part of the Aetna Foundation’s Building Healthy...

CMS Updates eMedicare Website to Improve Beneficiary Experience

by Sara Heath

CMS has revamped the eMedicare website, adding new tools to enhance the Medicare beneficiary experience when searching for a health plan. These updates include tools aimed at making it easier for beneficiaries to understand plan details,...

Payers Face Disconnect in Beneficiary Engagement Preferences

by Sara Heath

Medicare plans are failing to deliver member and beneficiary engagement in the form that members most prefer, according to new data from HealthMine. Specifically, health plan members want their payers to engage them using health IT....

Beneficiary, Patient Engagement with Health IT, Payers Increases

by Sara Heath

Patient engagement with their own health and health providers is markedly increasing, with more patients using health IT to improve their health and better understand their health payer plans, according to new data from...

Health Payer Coverage Access Cuts Patient Financial Strains

by Sara Heath

Patient access to comprehensive health payer coverage has reduced patients’ financial strains, according to new research from the University of Michigan Institute for Healthcare Policy & Innovation. As patients gain access to...

Payers, Purchasers Must Guarantee Mental Health Access Parity

by Sara Heath

When compared to access opportunities for physical health treatment, mental health access leaves something to be desired, according to a recent report from the National Alliance of Healthcare Purchaser Coalitions. Healthcare payers and...

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