Wearable technology has become a staple in many American households over the past few years. Fitness trackers are especially popular among individuals looking to monitor their basic vital signs and increase their physical activity. Wearable technology has even become...
Optimize Your Health Plan’s Provider Network With Our Comprehensive Guide
A high-performing provider network is essential for a successful health plan. It can help you attract and retain members, improve quality outcomes, reduce costs, and bolster financial performance. However, moving to a more productive provider network can be a complex...
How Insurers Can Minimize Effects of Unexpected Medication Shortages
Many companies (including but not limited to health care organizations) experienced the negative effects of supply chain shortages during the COVID-19 pandemic. However, there are other reasons for such supply issues. The most recent shortage has impacted many...
Out-of-network: What Does it Really Mean for Members?
Most people who have health insurance are at least somewhat familiar with the term 'out-of-network.' Those who work in the health insurance industry likely explain this concept to members often. While many people know that out-of-network refers to providers and...
Organizations Attempt to Retain Staff as Medicaid Rate Negotiations Continue
Medicaid rate changes continue to impact health care providers in all practice areas. But many people don’t know that most legislators agree a rate increase is key to the continuation of many essential medical services. Rather, the root of the problem is the debate...
Enrollment Surges are Placing Strain on Affordable Care Act Infrastructure
Just over 13 years after it was first enacted, the Affordable Care Act (ACA) seems to be experiencing major infrastructure issues. Unlike some systems issues of the same nature, this appears to be due to the overwhelming demand for ACA-based health insurance plans....
New Pricing Transparency Rules Favor In-network Data
Price transparency has been a hot topic over the past few years. It all began with the Hospital Price Transparency Rule, which was passed in 2020 just as the COVID-19 pandemic began to complicate the health care industry. This legislation went into effect in 2021,...
Personalized, Affordable Health Plans Prove to be More Engaging
Nearly 88% of people looking for health insurance value personalization in their plans as much or more than they did one year ago. It’s no surprise that this number has skyrocketed, since the COVID-19 pandemic magnified problems many members had with their health...
Role Clarity Improves Patient Outcomes
With a combination of medical jargon, abbreviations, and acronyms, it’s all too common for patients to be left in the dark about their health care treatment. That’s why the term ‘alphabet soup’ is often used to describe professional titles in the field of medicine. If...
Better Outcomes To Be Seen From Primary Care Clinics for Older Adults
In response to the growing number of senior citizens in the U.S., Humana has begun creating primary care centers with integrated care teams. Such centers have been designed to better address older adults’ social needs in tandem with complex medical conditions. The...