Healthcare plans

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 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.

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.

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.

Health insurer Gateway Health has teamed with mobile app vendor WEconnect Health Management to give Pennsylvania plan members ongoing help with recovery from substance abuse.

Telemedicine is on the rise, nearly tripling in use over the past two years, according to Rochester, N.Y.-based Excellus BlueCross BlueShield.

Policyholders generally are dissatisfied with the apps that their insurers are providing, according to a new study by J.D. Power.

Payers are establishing innovative ways to provide better care and improve the overall patient experience, according to America’s Health Insurance Plans.

A new Medicare Advantage plan will rely heavily on analytics to focus efforts on treating chronic conditions.

To help fight the rising tide of specialty drug costs, CVS Specialty has been elevating its digital tool capability for drug management and integrating it with its care coordination programs.

One of the nation’s largest health insurers is integrating capabilities with a health consumer experience firm to improve offerings to employers and plan members.