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Payer Denial Tactics — How to Confront a $20 Billion Problem
The high cost to health care providers to obtain reimbursement from insurers shows no signs of abating. A recent report from the group purchasing and consulting organization Premier highlights the long-standing problem.
Women’s Health Startup Tia Makes an Impact Treating ‘Medical Orphans’
San Francisco-based Tia launched in 2017 with a vision of reimagining health care with women at the center and helping them to make better decisions about their health. Now, in its first “Women’s Primary Care ‘Plus’ Outcomes Report,” the company shares data about the impact the company is having on its members.
Will Employees Become Fitter and Share Wearable Device Data for $1,000 a Year?
A new UnitedHealthcare Rewards program will pay eligible plan members, including spouses, up to $1,000 a year for achieving various daily health goals and one-time activities when documented through wearable devices.
Will a Chatbot Be Just What the Doctor Ordered for Reimbursement Appeals?
The Doximity digital platform for medical professionals has launched a beta version of ChatGPT to help streamline time-sapping administrative tasks like drafting and faxing preauthorizations and appeals letters to insurers.
Why Patients Leave — 4 Nonnegotiable Consumer Expectations
After surveying more than 21,000 consumers since 2017, leaders from Accenture have found some interesting answers and developed conclusions about where health care organizations should invest to improve the patient experience.
3 Looming Questions from the J.P. Morgan Health Conference
Providers, payers, data analytics companies and others working to transform health care gathered last week at the 41st annual J.P. Morgan Healthcare Conference to give updates on their strategies and progress.
What’s Driving Headwinds for Insuretechs?
Once the darlings of investors, startups aiming to transform the health insurance field with high-tech platforms have hit some headwinds lately. The stock prices of several companies have been hammered as a result. Here’s a rundown of challenges facing several so-called insuretechs.
Who Knew Primary Care Could Be So Difficult? Amazon Care to Close
Amazon Care, the virtual and in-home primary care service developed by its parent company in 2019 to serve Amazon staff and later other employers, launched with great fanfare. The online retailer said it will shutter the program by year-end, a surprising move given the company’s recent investments in health care businesses.
Employers Expand Health Benefits During the Pandemic
The recent release of the Kaiser Family Foundation’s annual employer health benefits survey put data behind a number of trends that surfaced during the pandemic. But a deeper look at the trends behind the numbers illustrates why many employees are feeling the pinch of rising health care costs and higher deductibles.
New Solution Helps to Address Unfair Commercial Health Care Plans
To help members reduce the significant operational challenges caused by some of these commercial payer issues, the AHA has also launched a new solution, the AHA Vitality Index.