Want to Reduce Your Insurance Network’s Overhead? Take These Steps to Elevate Care Management for Your Members with Chronic Diseases
Patients with chronic diseases such as diabetes and heart disease can experience a range of challenges as they manage these conditions. Unfortunately, many providers underestimate the toll that chronic conditions have on a person’s mental health and the countless...
Doulas to be Covered by Medicaid for California Mothers
California is one of the latest states to agree to provide covered doula care to pregnant mothers receiving Medicaid. Despite the positive outcomes associated with doulas and the entire pregnancy process, the agreement has not been going very smoothly this time...
Help Your Provider Network Reduce Heart Disease Claims by Embracing Artificial Intelligence
Artificial intelligence (AI) is making an appearance in countless industries, which is allowing researchers and scientists to make state-of-the-art advances. AI has become a stronger presence in medicine and is even being used in practice settings such as heart...
Massive Growth Projected for Immunotherapy Funding
By 2030, the rapidly growing immunotherapy industry is set to reach $277.1 billion. While this growth is good news for cancer patients benefiting from these treatment advances, it has started to pose a problem for some oncologists. There are clinicians who find that...
Interstate Licensure Compacts & Your Health Plan’s Bottom Line
Interstate licensure compacts are an example of another policy that is helping propel the telehealth movement. These regulations make it so that telemedicine providers can receive multiple state licenses simultaneously in order to provide virtual care. Since a main...
Lowering Costs Associated with Hospital-acquired Infections
Current CDC data finds that about one in 31 hospital patients has at least one healthcare-associated infection (HAI). While hospitals can implement measures such as improved disinfecting protocols, equipment standards, and streamlined processes, another side to be...
Leverage Telehealth to Reduce Obesity-Related Health Care Costs
Telehealth can make a world of difference in many areas of medicine. One such subspecialty is bariatric medicine, which is ever-growing due to the obesity epidemic in America. This specialization is a notoriously trying area since many patients are hesitant to...
Accumulators and Switching Health Plans
Many circumstances in life might force someone to switch health insurance plans. Moving, getting married, losing a job, starting a new career, and a change in financial status can all cause someone to need a new plan. While this may seem like a good thing if someone...
Attracting and Retaining Healthy Young Adult Members
People across all age groups have varying consumer health behaviors that impact payers’ bottom line. One of the most notable tendencies of younger generations is how rarely they rely on primary care physicians. While middle-aged and older adults regularly schedule and...
New Way to Address the Opioid Crisis
The pandemic has brought about an onslaught of changes -- some good and some bad. While a surge in drug-related deaths due to overdose has been a negative outcome, this has prompted some positive action in the realm of addiction treatment. Unfortunately, the United...