Jun 19, 2020 | Managed Care Friday
30: The number of estimated HealthHubs Aetna has planned to put in place by year's end in metro Atlanta, and 500-600 nationally. Playing House: UnitedHealth Group announced a $100M investment in the Health & Housing Fund, which will allow for more than 1,000 new homes to be built for those struggling with housing insecurity. The first three housing developments will be built in DC, Texas, and Oklahoma. UnitedHealth will continue to focus on social determinants of health, such as food, transportation, and social isolation. At Home CHF & Cancer Care: Intermountain Healthcare is...
Jun 12, 2020 | Managed Care Friday
Interest in women’s health services is rising, but if you are a hospital, doctor group, or healthcare investor – or even if you are a parent or working woman - what are the trends, best opportunities, and potential risks? In this special edition of Managed Care Friday, we offer a snapshot of recent trends and emerging considerations, including results from a hospital CEO poll and survey of over 1,500 adult women. Click to read more.
Jun 5, 2020 | Managed Care Friday
62: Percent of medical directors, out of 100, we polled who say they get pitched ‘all the time’ on value-based models or capitated payment concepts but often get rebuffed internally from the informatics or actuary team who ‘can’t figure out a way to code’ for the new model and handle all the claims. If there’s a lesson here, it’s that the medical director is important to get on board. You’ll need an ROI argument and a ‘time to ROI’, but ‘you’ll need to be prepared for pushback on how this can work administratively’. Concierge Surgery Benefit: Employer Direct Healthcare of Texas, a healthcare...
May 29, 2020 | Managed Care Friday
42: Percent of people delaying healthcare appointments due to the pandemic, while just 16% delaying mental health appointments, a BCBS spokesman said, thanks largely to a system of virtual sessions that was already changing before the virus. A local solo therapist for teens in southern New England had hired 5 school psychologists in January for tele sessions, turning her caseload from 50 established to 200. On a national scale, Magellan saw a staggering 1,500% increase nationally in behavioral health telemedicine claims from February to early April this year while Talkspace volume is up 65%....
May 22, 2020 | Managed Care Friday
90: Percent of home health agencies reporting that their clients are canceling one or more visits because they are fearful of contracting COVID-19 or potentially bringing the virus into their homes, according to a Home Care Association of America survey. Many are delaying necessary medical care and even avoiding the ER for a day or two after a stroke or heart attack due to virus fear, which could lead to clinical deterioration and complications. One large home health and hospice company that usually provides care to 35,000 patients experienced 8,000 visit cancellations in the span of one...
May 15, 2020 | Managed Care Friday
8 is Not Enough: An 8% reduction in chronic care condition downstream costs from frequent exercise among commercially insured has health plans seeing the potential of movement and many are creating new CEOs. Blue plan executives we chatted with this week say they are appointing chief exercise officers who will head up a range of initiatives following results of the new national study. Ideas floated in our poll: exercise breaks at a set time each day led by mix of celebrity instructors like Glee’s Sue Sylvester or using supplemental benefit Star bonus dollars for Medicare enrollees to build...
