Health insurance plans serve as the financial backbone of health care, functioning as the crucial link between employers and providers in the $2.5 trillion industry. Topics include: claims management systems, quality improvement programs and claims processing standards.
New York private equity firm New Mountain Capital LLC has acquired health information management software and services firm HealthPort.
Seattles Virginia Mason Medical Center has launched a comprehensive Patient Cost Estimator tool for prospective patients, providing them with an estimate of what their out-of-pocket cost will be for a variety of medical and surgical services based on their health insurance policy.
In a $600 million cash transaction, Optum, the IT and business services unit of UnitedHealth Group, is buying health management vendor Alere Health, which provides services to more than 200 regional and local health plans, 89 Fortune 500 employers and 29 states, covering about 22 million people in the U.S.
The Commonwealth Fund and policy research organization NORC at the University of Chicago are collaborating on a nationwide database and interactive map highlighting costs and year-to-year price changes in health insurance plans offered under the Affordable Care Act.
Employers that are considering incorporating wearable fitness devices into their wellness programs are facing important decisions about the cost of those devices, and must also be prepared to allay employees concerns about data security.
The Electronic Healthcare Network Accreditation Commission, which certifies entities that process transactions or exchange health information for meeting best practices, has released for public comment draft criteria for a new accountable care organization accreditation program expected to be formally launched in early 2015.
Kaiser Permanente Hawaii has launched a new virtual feature available on KP.org, its integrated member resource website. Through a secured email server, patients can now send digital images to their physicians, including pictures of rashes, wounds or other injuries.
Terry Fouts, M.D., chief medical officer of Emeryville, Calif.-based analytics vendor MedeAnalytics, talks with Health Data Management about the current state of analytics, including the integration of data from outside the clinical domain.
Americas patient privacy law, the Health Information Portability and Accountability Act of 1996, has been anything but static. Regulators have pushed to keep it current and to draft forward-looking rules. This fall is no different.
Cigna says it will offer those covered by employer health plans a new technology "ecosystem" platform that combines online, mobile, social media, gamification, and web-based incentives to help customers and their families get the most out of the benefits.
The top 1 percent of patients ranked by their healthcare expenses accounted for 22.7 percent of total healthcare expenditures with an annual mean expenditure of $97,956, according to recent data published by the Agency for Healthcare Research and Quality.
Quality healthcare is necessary to improve the health of disadvantaged populations, but it is not enough to eliminate the adverse effects of limited education.
The Office of the National Coordinator for HIT has named Lucia Savage, senior associate general counsel at UnitedHealthcare, as its new chief privacy officer effective Oct. 20.
Healthcare delivery systems should consider leveraging nurse practitioners and physician assistants, patient-centered medical homes, multi-disciplinary care teams, and health information technology to meet the future demands for primary care, according to a new report from UnitedHealthcare.
Alliance Resource Partners, L.P. the third-largest U.S. coal producer, is seeking new ways to tackle health care costs in its self-funded plan.