Payers
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Obesity Care Startup Launches With $3M in Funding
Ilant Health launched out of stealth Tuesday. The company serves employers and payers and helps identify patients in need of obesity treatment and matches them to the care best for them.
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Artificial Intelligence, Consumer / Employer, Health Tech, Payers, Startups
11 HLTH Announcements You Don’t Want to Miss
This year’s HLTH conference brought a bevy of news announcements — from partnerships to new product features to acquisitions and more. In this list, MedCity News compiled short summaries for 11 of the conference’s most notable announcements.
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Payer’s Place: Dawn Maroney
Dawn Maroney, President, Markets of Alignment Health and CEO of Alignment Health Plan, to discuss how they are using technology to provide better service and care to consumers.
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MedCity FemFwd Podcast: SCAN Inspired With Nancy Monk, Chief Operations Officer of SCAN Health Plan
In this episode, we discuss SCAN Health Plan’s recent launch of SCAN Inspired, a Medicare Advantage plan designed for women.
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Is Medicare Advantage a Failed Experiment? Experts Debate
Enrollment in Medicare Advantage is increasing, but the program has been drawing scrutiny from the government. Can the program be saved? One expert believes Medicare Advantage is a failed experiment. Another thinks that while the program has its flaws, it shows tremendous potential.
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Payer Insights Program Highlights How Payers and Tech Partners Are Thinking About AI, Health Equity, and the Consumer Experience
HLTH 2023 introduced a new program focused on technology trends for and perspectives from payers in a series of conversations around AI, health equity and healthcare innovation.
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Highmark Health, Spring Health Team Up for Mental Health Solution
Spring Health and Highmark Health are collaborating to launch Mental Well-Being, a solution that offers therapy, medication and other services for some Highmark members.
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Did Cigna Deserve its $172M Penalty?
Cigna recently agreed to pay $172 million to resolve allegations that it violated the False Claims Act. One expert said this is just a small part of the problem, while another called for more clarity from the government.
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Payers, sponsored content, SYN
Payer’s Place: Camille Harrison, GuideWell, Florida Blue
What does the future hold with AI and the healthcare ecosystem? Camille Harrison with GuideWell, Florida Blue joins the Payer’s Place to share her thoughts.
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Individuals Living with Kidney Disease Deserve More From Our Healthcare System
Policymakers must work to increase access to the Medicare Kidney Disease Education Benefit and expand the Medicare annual wellness benefit to include kidney disease screening. These reforms will catch disease at earlier stages and equip patients to better recognize their risk.
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Payer’s Place: Don Antonucci
The CEO of Providence Health Plan visits the Payer’s Place and addresses the future of payment models.
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MedCity Influencers, Consumer / Employer
A Prescription for Social Needs: Why Human Connection is Medicine
Weaving companionship into health care as we would a blockbuster drug can help us circumvent expensive healthcare services like emergency department visits and hospitalizations.
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SCAN Announces 10-Year Partnership With ApolloMed, Launches Female-Focused MA Plan
In a value-based partnership with ApolloMed, SCAN is launching a Provider Specific Plan called Compass. It is also announcing a Medicare Advantage plan designed for women called SCAN Inspired.
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Exclusive, Patient Engagement, Payers, sponsored content, SYN
Payer’s Place: Dawn Maroney, Alignment Health
CEO of Alignment Health joins the Payer’s Place and details how the growth of Medicare Advantage will only help patients in the future.
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C-SNPs: Promoting Healthcare Focused on Chronic Conditions
C-SNPs are Medicare Advantage plans formulated to meet the desired needs of people living with chronic diseases. These plans are different from traditional Medicare plans because they’re only available to people who fit the special needs category that the plan serves.
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4 States Received Enhanced Medicaid Funding During Covid Despite Wrongly Terminating Coverage
New York, Florida, Texas and Minnesota terminated Medicaid coverage for some enrollees for “unallowable or potentially unallowable reasons” during the Covid-19 public health emergency, according to a recent Office of Inspector General report.
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CMS: MA Premiums To Remain the Same for Most Beneficiaries in 2024
The average monthly plan premium for Medicare Advantage is expected to increase only slightly in 2024 from 2023, CMS said. About 73% of beneficiaries will see no increase at all.
