Payer

CMS releases new rule for payers about MIPS, fee schedule
By Mike Miliard July 16, 2018
The "historic changes" announced late yesterday by the Centers for Medicare & Medicaid Services, promising big adjustments to its policies around the Physician Fee Schedule and the Quality Payment Program, already have the healthcare industry talking. CMS says it wants to incentivize the use of and access to virtual care and telehealth, to ease the quality reporting burden on physicians by...
By Dave Muoio July 13, 2018
Key Benefit Administrators (KBA), an Illinois-based administrator of self-funded employee welfare benefit plans for enterprises, has brought a lawsuit against Teladoc alleging a breach in obligations, pecuniary loss, defamation, and tortious interference all stemming from $450,000 in overcharges. In a statement to Babyforyou.net.ua, Teladoc said that it was “optimistic” that this dispute could be...
By Jonah Comstock July 12, 2018
The Centers for Medicare and Medicaid Services released its new proposed Physician Fee Schedule and Qualified Payment Program updates for 2019, and the announcement includes some big strides forward in promoting digital health technology, including widened telemedicine coverage, an overhaul of documentation requirements, and a new focus on interoperability. "Today is a huge win for patients and...
By Jonah Comstock July 12, 2018
Healthcare data platform company Innovaccer has launched ACO Advisor, a new free online tool that uses publicly available data to advise Accountable Care Organizations on how to reduce costs and increase revenues. “It has been six years since the ACO program was started, but still most of them are leaving money on the table by not assuming enough risks,” Abhinav Shashank, CEO cofounder at...
By Dave Muoio July 11, 2018
In 2016, UnitedHealthcare and Medtronic cut a deal that established the latter’s devices as the preferred insulin pumps for United members with diabetes. Now, the companies have announced year one data suggesting that members who took advantage of the companies’ arrangement experienced fewer preventable hospital admissions when compared to members relying on multiple daily injections of insulin...
By Jonah Comstock July 9, 2018
WellDoc has expanded its BlueStar digital diabetes management platform to include a weight loss feature and a feature for those with both diabetes and hypertension. A standalone product for hypertension is also coming from the company later this year. “The American Diabetes Association reports that nearly one in three American adults has hypertension, and two in three people with diabetes have...
5 payers launch blockchain partnership
By Dave Muoio July 6, 2018
This quarter saw a handful of digital health stories regarding payers and their new digital offerings, especially in the area of diabetes care. However, the past few months also saw headlines regarding CMS payments, payer-backed investigations into novel technologies, and other moves from insurers looking to better leverage digital healthcare. Read on for Babyforyou.net.ua’ roundup of payer news...
Patient using a health app.
By Tonya Stewart July 4, 2018
UK Health Secretary Jeremy Hunt has announced a new NHS app that will put patients in control of their healthcare and will be available to everyone in England in December 2018. The new NHS app, which was a key feature of Hunt’s speech to NHS Expo last year, will give patients access to their GP record, enable them to order repeat prescriptions, and access 111 online. Patients will also be able to...
By Jonah Comstock July 2, 2018
Healthy Interactions, a population health company that offers both digital and in-person programs for chronic disease management and education, announced last week that it has added two new programs, for cardiovascular disease and depression, to its portfolio.  The company's initial focus was on diabetes, and it launched its original program, diabetes self-management education and support, in...
By Dave Muoio June 27, 2018
HeartFlow, a company that specializes in creating computerized heart models to treat coronary diseases, announced that its HeartFlow fractional flow reserved from CT (FFRct) Analysis will be covered under UnitedHealthcare's plan. The deal would put the the Redwood City, California-based company’s tech within reach of an additional 45 million beneficiaries, according to a statement, bringing...