By Devin Partida – The beginning of the 2020s brought a great number of changes to the medical industry as a whole. Telehealth, which was beginning to gain popularity at the end of the 2010s, became a necessity to allow patients to continue their treatment while slowing the spread of COVID-19.
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RAND study: Examining a wide range of medical practices owned by health systems, researchers found that volume-based compensation was the most-common type of base pay for more than 80% of primary care physicians and for more than 90% of physician specialists.
By David Burda – In this life, as a healthcare journalist, I’m usually writing about what providers and payers are doing or not doing to make the healthcare system work better for consumers. In my other life, as a healthcare ghostwriter, I’m often writing about products and services that their vendors claim will make it easier for providers and payers to serve their customers.
By Susan Bellile – As we kick off 2022, one of the big questions surrounding interoperability is the status of the payer-to-payer data exchange rule. The requirement was part of the May 2020 Final Rule supporting the 21st Century Cures Act, and its enforcement was scheduled to start on January 1. However, in September CMS delayed enforcement pending future rulemaking.
By Dr. Richard Watson – No surprise to state that money drives the motivations and decision-making in healthcare. It is certainly noted that the rank-and-file patient care cohort continues to carry the quality torch, but even these voices are filtered through a complex algorithm of “metrics” and “standards.”
By Scott Overholt – Payer-required administrative tasks are a burden most providers know all too well. They are a daily source of frustration, diverting time from mission-critical work and often delaying patient care. Legislation impacting audit and authorization processes is in constant flux, only increasing confusion about payer requirements and regulations.
By Teresa Younkin – As we start rolling up our sleeves to get to work in 2022, we already are seeing several trends that will continue to transform healthcare in the year ahead. Payers will have their work cut out for them and will be forced to adapt, with many modifications coming sooner than later.
By Mark Menton – The sometimes adversarial relationship between providers and health plans is well documented – and its patients who end up in the crosshairs of the fragmented healthcare system. Amid government mandates, evolving customer demands, and rapid-fire innovation, many providers and plans realize they can’t go it alone anymore.
Latest news being reported on payers and the health insurance industry including news from KindHealth, Cigna, UnitedHealthcare, Oscar Health, Blue Cross Blue Shield Association, Humana, AHIP and more.