#Analytics platforms, omnichannel engagement tools, #telehealth, and other technological and data advancements have been pivotal to successful payer #patienteducation. Thanks, Cathy (Mary) Moffitt, MD, FAAP, CHIE, for sharing best practices and giving some insight into the Aetna, a CVS Health Company approach to patient education in health insurance. Find out more on https://lnkd.in/d4ekdHz.
HealthPayerIntelligence
Online Audio and Video Media
Danvers, MA 388 followers
Empowering Payers to Work Effectively with Providers and Patients
About us
By connecting with subject-matter experts from the nation’s top payers, the editors at HealthPayerIntelligence share actionable insight drawn from real-world experiences working with providers, employers, beneficiaries, and policymakers under commercial and public contracts.
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https://healthpayerintelligence.com
External link for HealthPayerIntelligence
- Industry
- Online Audio and Video Media
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- 11-50 employees
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- Danvers, MA
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- health insurance, health payer, value-based care, Healthcare Insurance News, and Value-Based Contracting
Updates
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"Health plans are being challenged with getting out of their comfort zone a little bit and making a concerted effort to address the needs of this population within the larger program that has unique needs, unique challenges that require specialized attention on the part of the health plan." - Juan Montanez, FTI Consulting
Keys to success in the Medicare Advantage health equity index
healthpayerintelligence.com
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The No Surprises Act's independent dispute resolution process provides a channel for payers and providers to negotiate payments without affecting patient spending. But who is involved and how does it work? HealthPayerIntelligence has you covered.
What to expect in the NSA’s independent dispute resolution process
healthpayerintelligence.com
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Some states have already cut in-person interviews and limited renewals to once a year, aligning with Medicaid and CHIP final rule policies. - https://bit.ly/4asGsfN
PHE unwinding work may aid Medicaid, CHIP final rule compliance
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Payers should implement vendor management programs, incident response plans, and training processes to prepare for third-party security incidents. - https://bit.ly/4cwdAVc
How can payers be prepared to manage third-party security incidents?
healthpayerintelligence.com
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Payers can use the next couple of years to establish a solid technology strategy to ensure compliance with the prior authorization final rule. https://bit.ly/3OIAoqN
Overcoming Tech Barriers to Achieve Prior Authorization Transparency
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Health systems do not invest in the infrastructure needed to support Medicare Advantage, while health plans offer low reimbursement, leading to contract terminations. https://bit.ly/3w8pWCr
What Is Behind Rampant Medicare Advantage Contract Terminations?
healthpayerintelligence.com
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In addition to an increase in Medicare Advantage plan payments, CMS proposed updates to the Part D risk adjustment model and star ratings. https://bit.ly/3OuFczJ
CMS Proposes 3.7% Increase in Medicare Advantage Plan Payments
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In 2024, payers must comply with Medicare Advantage marketing requirements, price transparency regulations, and prior authorization policies. https://bit.ly/3TG3cDj
Key Regulations and Policies That Will Impact Payers in 2024
healthpayerintelligence.com
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Healthcare coverage for the LGBTQ+ population differs depending on a member’s state, health plan, and service needed. https://bit.ly/3SoCiPW
How Public, Private Payers Cover Care for the LGBTQ+ Population
healthpayerintelligence.com