Employee benefits

MercyCare Health Plans will deploy a cloud-based solution to streamline its Healthcare Effectiveness Data and Information Set (HEDIS) submissions.

As Hurricane Dorian bears down on the U.S., some health payers are moving to assist members in the wake of expected storm impact and lack of access to health services.

Blue Shield of California is the first payer to sign with a new value-based care collaborative with healthcare services company Altais and health IT company Aledade.

Utilization and care management solutions have been around for decades, but today’s health plans are looking for newer breakthrough technology to help them negotiate today’s changing market.

Amerigroup Texas is offering Medicaid recipients telehealth consultations with medical and behavioral healthcare providers at no cost.

Healthcare consumers looking for health insurance coverage under federal insurance exchanges for 2020 will get more assistance in picking their selection.

Blue Shield of California is partnering with a company that is making use of telehealth services to enable follow-up care for home care visits by physicians.

Payers are pursuing new directions in taking care of members, putting a premium on how they use analytics to identify risks that can be mitigated.

Jordan Bazinsky of Cotiviti says the need to inherently trust information is essential to gain trustworthy insights.

Cigna Ventures is leading a $23 million investment in GNS Healthcare, a specialized artificial intelligence company.

The improvements insurers are seeking in terms of data-driven decision making can’t be denied.

Trupo is now providing accident, dental, specified disease and cancer insurance to gig workers.

The health insurer and the Atlanta University Center Consortium—the oldest and largest consortium of historically black colleges and universities—are partnering to help students become data analytics experts.

Blue Shield of California and Solera Health have teamed up to offer a new free digital therapeutics program to members.

NCCI research points to automation, robotics, and continued advances in safety as contributing factors to a decrease in claims frequency. However, severity is up -- and wearables could help.

Humana is collaborating with electronic health records vendor Epic as both entities seek to bring together patients, providers and insurers to advance value-based care.

Company executives discussed deployment of Kinetic wearable device at Dig | In.

Blue Shield of California and Landmark, an in-home senior care company, are using data analytics to drive care for the health plan’s most vulnerable population.

Health plans now gather and report data for quality reporting, claims reporting and to conduct risk adjustment analysis, but typically these various data collections occur separately, are sometimes duplicative and are uncoordinated, say Deloitte experts. But that will soon all change.

IBM has awarded Blue Cross of Idaho the 2019 IBM Watson Health Advantage Award for its use of data analytics to improve outcomes and lower costs in episodes of care.