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| “Humana is dedicated both to value-based care and to addressing social determinants of health. This new (valued-based care) program is a way for us to deepen those commitments, by interweaving both into our work with clinicians, toward a more holistic approach to care. The new model is, therefore, a logical ‘next step’ for us, as it broadens the scope of patient care to more holistically improve health outcomes—social determinants of health are linked to an increased risk of chronic medical conditions, so it’s critical that we address these key barriers to good health.” | ||
| -Caraline Coats, Vice President of Population Health Strategy, Humana |
 The count of carriers in the insurance exchanges, by carrier type: Blue: 67 in 2020; 70 in 2017; 75 in 2014 Provider: 58 in 2020; 62 in 2017; 64 in 2014 Regional/local: 64 in 2020; 37 in 2017; 37 in 2014 Medicaid: 39 in 2020; 33 in 2017; 32 in 2014 National: 12 in 202; 25 in 2017; 50 in 2014 CO-OP: 5 in 2020; 7 in 2017; 24 in 2014 Source: McKinsey, Insights into the 2020 individual market—increased consumer choice and decreased premiums |
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HCCI: Average Healthcare
Spending per Person, 2014-2018 1. 2018: $5,892 2. 2017: $5,645 3. 2016: $5,420 4. 2015: $5,166 5. 2014: $4,978 Source: Health Care Cost Institute: 2018 Health Care Cost and Utilization Report |
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Special Episode: Bipartisan Rx for America's Health Care
Broadcasting from the Bipartisan
Policy Center in Washington, DC, where we are releasing a major
report that has been three years in the making. BPC is a Washington, DC-based
think tank that actively fosters bipartisanship by combining the
best ideas from both parties to promote health, security, and
opportunity for all Americans. I’m sitting down with two of my
“Big 10” colleagues, who are
going to share how the sausage got made on this health care
reform compromise, and highlight some key details in the report. |
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Check out
HealthshareTV, the
home for health care videos |
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Insurers Sank Connecticut’s ‘Public Option.’ Would A
National Version Survive? Health care costs were rising. People couldn’t afford coverage. So, in Connecticut, state lawmakers took action. Their solution was to attempt to create a public health insurance option, managed by the state, which would ostensibly serve as a low-cost alternative for people who couldn’t afford private plans. Kaiser Health News, March 4, 2020 A Ten-Year Engagement: The Media And The ACA October 1, 2013, marked an important moment in health policy history. Most of the federal government shut down after Senate Republicans tried to force President Barack Obama to delay the launch of the Affordable Care Act (ACA). On the same day the ACA’s new federal Marketplaces failed to launch as scheduled, as a result of widespread computer glitches. And that night comedian Jimmy Kimmel demonstrated everything that had been wrong with the media’s coverage of the passage and implementation of the health law in one four-minute bit. Health Affairs, March 2, 2020 Checkup for $30, Teeth Cleaning $25: Walmart Gets Into Health Care The main drag of Calhoun, Ga., a town of about 16,000 an hour’s drive north of Atlanta, is dotted with pawnshops, liquor stores, and fast-food joints. Here, as in thousands of other communities across America, the local Walmart fulfills most everyday needs—groceries, car repairs, money transfers, even hair styling. But now visitors to the Calhoun Walmart can also get a $30 medical checkup or a $25 teeth cleaning, or talk about their anxieties with a counselor for $1 a minute. Bloomberg, February 25, 2020 Scaling Up Partnerships With Community-Based Organization Networks As health care payment models become more value-based, health care systems are increasingly interested in approaches that address both medical needs and social determinants of health. Health Affairs Blog, February 24, 2020 |
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VCU Health Halts 30-Year Campaign That Seized
Patients’ Wages In one of the most sweeping moves yet by a nonprofit hospital system to reduce aggressive bill collection, VCU Health is halting seizure of patients’ wages and removing thousands of liens against patients’ homes, some dating to the 1990s. Kaiser Health News, March 11, 2020 California Cracks Down on Alternative Health Plans California state officials said on Tuesday they were ordering a major Christian group to stop offering an alternative to health insurance, joining several states scrutinizing these cost-sharing programs that provide limited coverage. New York Times, March 10, 2020 Coronavirus Prompts Hospitals to Fast-Track Telemedicine Projects Hospital chief information officers, no strangers to emergencies, are putting in place new systems and workflows to get ahead of a growing coronavirus epidemic that threatens to tax limited resources and staff. Their tasks include greenlighting telemedicine projects to reduce expected patient gridlock, developing digital dashboards to speed triage, and testing and retesting systems expected to allow staff to work remotely. Wall Street Journal, March 10, 2020 New Federal Rules Will Let Patients Put Medical Records On Smartphones Federal officials on Monday released groundbreaking rules that will let patients download their electronic health records and other health care data onto their smartphones. “Patients should have control of their records, period. Now that’s becoming a reality,” said Health and Human Services Secretary Alex Azar. “These rules are the start of a new chapter in how patients experience American health care.” Kaiser Health News, March 9, 2020 Cleveland Clinic + Oscar = concierge medicine The two-and-a-half-year-old partnership between Cleveland Clinic and insurer Oscar Health illustrates an emerging, value-based business model for the health care industry aimed at lowering costs and raising care quality. Crain's, March 8, 2020 Amazon, Priority Health collaboration Priority Health recently announced a new collaboration with Amazon that allows its members to use their accounts to order and pay for eligible healthcare items. The Michigan-based insurer now has a branded storefront on Amazon’s website. mLive, March 5, 2020 Humana launches value-based program aimed at social determinants of health Humana is bringing its value-based care know-how together with its aptitude for tackling social determinants among its Medicare Advantage (MA) members. The insurance giant announced it's launching a new value-based care model to support providers in identifying and addressing several social concerns. The program will cover “enhanced” care coordination for patient screenings, documentation of assessment findings and linking patients to resources. FierceHealthcare, March 4, 2020 Emory Healthcare, Verizon Opens Nation’s First 5G Healthcare Innovation Lab The Emory Healthcare Innovation Hub (EHIH) announced it is now powered by Verizon 5G Ultra Wideband service, making it the nation’s first 5G healthcare innovation lab. The 5G healthcare innovation lab is part of a new strategic partnership between Verizon and Emory Healthcare to develop and test 5G Ultra Wideband-enabled use cases that could transform the healthcare industry. HITConsultant, March 4, 2020 Supreme Court will decide the fate of Obama health care law The Supreme Court agreed Monday to decide a lawsuit that threatens the Obama-era health care law, a case that will keep health care squarely in front of voters even though a decision won’t come until after the 2020 election. Associated Press, March 2, 2020 Affordable Care Act exchanges grow as insurer participation rises Even as the ultimate fate of the law remains uncertain, the Affordable Care Act has shown that its insurance marketplace is still going strong. Insurer participation in the ACA rose in 2019 following three straight years of decline, finds a new analysis by McKinsey and Company. Healthcare Finance, February 24, 2020 |
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