This message was sent to ##Email##
Health Leaders Media
The Centers for Medicare & Medicaid Services in the coming weeks will roll out mandatory Medicare payment models for cancer and "revisit" voluntary cardiac care models, Health and Human Services Secretary Alex Azar said recently.
"Bundled Payments for Care Improvement is a voluntary model, where potential participants can select whether they want to join. But we're not going to stick to voluntary models," Azar said in a speech before the Patient-Centered Primary Care Collaborative Conference.
For some older adults, private Medicare Advantage plans next year will offer a host of new benefits, such as transportation to medical appointments, home-delivered meals, wheelchair ramps, bathroom grab bars or air conditioners for asthma sufferers.
But the new benefits will not be widely available, and they won't be easy to find.
Of the 3,700 plans across the country next year, only 273 in 21 states will offer at least one. About seven percent of Advantage members — 1.5 million people — will have access, Medicare officials estimate.
Health Payer Intelligence
The Health Care Transformation Task Force recently released a new set of guiding principles to help healthcare industry leaders and policymakers better integrate consumer needs into benefit design.
The goal of the task force, a consortium of leading healthcare payers, providers, purchasers and patient organizations, is to accelerate the industry's move to value.
Alaska Public Media
Beginning next year, a new law will require all health care providers in Alaska to be more transparent about their prices. Some hope it will give consumers the tools to shop around, boosting competition and subsequently lowering prices. While it may help prevent sticker shock, experts said the move most likely won't result in cheaper medical procedures. Davon Smith is the clinical business operations director for SVT Health and Wellness in the Homer area. He said if health care prices catch patients off guard and they are unable to pay, it can impede their treatment.
Walmart and Home Depot, two of the top 10 U.S. employers, have embraced a health insurance strategy that punishes drugmakers for using discount cards to keep patients from switching or stopping their medications.
Large U.S. companies have started tightly managing how employees and their family members use these popular discount, or copay, cards for everything from multiple sclerosis treatments to widely-used rheumatoid arthritis medications sold through a specialty pharmacy.
Failure to manage referrals and patient leakage can result in a loss of revenue, and a new Fibroblast survey details the extent to which this is true, with 43 percent of health executives saying their organization is losing more than 10 percent of their revenue to patients going elsewhere for care.
Meanwhile, 19 percent of executives say patients seeking care at other facilities is costing their organization 20 percent of patient revenue. Twenty-three percent say they don't know how much revenue they're losing due to leakage.
Express Scripts Holding Co. recently announced a new drug reimbursement list with lower U.S. prices for brand-name medications, as a way to encourage drugmakers to move away from paying rebates after a prescription is filled. The manager of prescription drug benefits for large corporate employers and government health plans said its new National Preferred Flex Formulary will be available as of Jan. 1 to all clients.
Insurance Business Magazine
The insurtech landscape has been a whirlwind of activity in the past few years. Phase one of the insurtech evolution saw technology trailblazers sweep into the insurance industry en masse trying to capitalize on points where customer friction and large profit pools intersect. Lots of first-wave insurtech innovation was based around insurance distribution and was focused through the lens of customer needs and expectations.
| || |
Connect with NAHU
Recent Issues | Unsubscribe | Advertise | Web Version
Colby Horton, MultiView, Executive Vice-President, Publishing/Marketing, 469-420-2601 | Media Kit
Katherine Radin, Executive Editor, 289-695-5388 | Contribute news
National Association of Health Underwriters
1212 New York Avenue NW, Suite 1100 | Washington, DC 20005 | 202-552-5060 | Contact Us
Learn how to add us to your safe sender list so our emails get to your inbox.
NAHU Newswire is a daily brief featuring the latest news of interest to healthcare agents and brokers, selected from thousands of sources by the editors of MultiView. NAHU personnel, in accordance with internal policies, do not approve all stories selected. Any comments regarding content of this publication should be emailed to NAHU. It should not be understood or inferred from the presence of advertisements that NAHU endorses any products or services advertised. Similarly, NAHU is not responsible for the quality of journalism reflected in the articles: it should not be understood or inferred that NAHU supports the information provided. MultiView and NAHU are not liable, for any delays or inaccuracies in the information contained in this brief, nor for any actions taken or outcomes resulting from relying on the information provided herein.
50 Minthorn Blvd.Suite 800, Thornhill, Ontario L3T 7X8