Healthcare Payers

Why Ochsner & Humana struck an RPM partnership for chronic care

April 3, 2024 - Remote patient monitoring (RPM) tools and services have proven remarkably effective at improving chronic disease management. However, access to RPM programs can be challenging, particularly for underserved populations. One strategy to break down barriers to RPM access for chronic care is collaboration between healthcare providers and payers. A recent example of such a partnership is...

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Evernorth Adds Asynchronous Telehealth Options to MDLIVE

by Anuja Vaidya

Cigna’s pharmacy, care, and benefits solution division Evernorth Health Services is acquiring Bright.md, adding asynchronous telehealth, triage, and care navigation services to its MDLIVE virtual...

Private Insurance Payments Similar for Telehealth, In-Person Claims

by Anuja Vaidya

Like in 2020, private insurer payments for telehealth claims were similar to in-person claims in 2021, with payments ranging from $43 to $299 for patient evaluation and management and mental health...

Medicaid Coverage Linked to Rise in Telehealth Use, Healthcare Access

by Anuja Vaidya

Medicaid coverage of telehealth services between 2013 and 2019 was associated with significant increases in telehealth use and healthcare access, but private insurer coverage of telehealth during the...

Virtual Care Startups Receive Funding, Payer Partnership Opportunities

by Mark Melchionna

The UCSF Rosenman Institute has selected virtual care startups Welfie and Moving Analytics as awardees of the 2022 UCSF Rosenman ADAPT Program (ADAPT), providing them with funding and allowing them to...

MN Payer, Hybrid Care Provider Partner to Extend Rural Healthcare Access

by Anuja Vaidya

Blue Cross and Blue Shield of Minnesota (Blue Cross MN) has entered into a new collaboration with Homeward, a hybrid care provider focusing on rural healthcare. Blue Cross MN's Medicare Advantage...

Telehealth Advocacy Groups Raise RPM Coverage Decision Concerns

by Anuja Vaidya

The American Telemedicine Association and Alliance for Connected Care have expressed concerns regarding a Contractor Advisory Committee (CAC) Meeting on remote physiologic monitoring (RPM) and remote...

Private Insurer Payment for Telehealth On Par with In-Person Care in 2020

by Anuja Vaidya

In 2020, private healthcare payers reimbursed providers similarly for telehealth and in-person claims, including mental healthcare claims, according to an analysis conducted by Kaiser Family...

MA Health Plans to Expand Access to Virtual Behavioral Healthcare

by Anuja Vaidya

Point32Health, the parent organization of Harvard Pilgrim Health Care and Tufts Health Plan, is partnering with Valera Health to expand access to telebehavioral health services in...

Enrollment in Integrated Health Plan Drove Telehealth Use in California

by Anuja Vaidya

A new study shows that higher telehealth use was linked to enrollment in a clinically and financially integrated health insurance plan versus a nonintegrated health plan. Published in Health...

Blue Cross NC to Expand Telehealth Coverage Following Spike in Use

by Anuja Vaidya

Based on a review of telehealth data from the past two years, Blue Cross Blue Shield of North Carolina (Blue Cross NC) is launching an expanded telehealth policy that will cover virtual care services...

NY Payer Partners With 4 Virtual Behavioral Health Providers

by Anuja Vaidya

Empire BlueCross BlueShield has added four virtual behavioral health companies to its provider network. Empire BlueCross BlueShield, a healthcare payer, covers more than 4 million members and 38,000...

Utah Payer to Cover Prescription Digital Therapeutic for Opioid Use Disorder

by Anuja Vaidya

SelectHealth, a Utah-based health insurer and a wholly owned subsidiary of Intermountain Healthcare, has added reSET-O, a prescription digital therapeutic, as a covered benefit for some members. The...

Hybrid Care Provider, Payer Team Up to Expand Care Access in Rural Michigan

by Anuja Vaidya

Homeward, a hybrid care provider focusing on rural healthcare, has partnered with Priority Health, a nonprofit health insurer, to expand access to its services in Michigan. Through the partnership,...

Data Inconsistencies Provide Blurry Picture of Audio-Only Telehealth Use

by Mark Melchionna

In a piece published in Health Affairs, researchers from Harvard Medical School and RAND Corporation wrote that predicting the future of audio-only sources is hard, mainly due to the common...

Aetna Expands Access to Virtual Eating Disorder Treatment

by Anuja Vaidya

Aetna has joined forces with Equip to offer its members a virtual eating disorder treatment program. The program provides family-based treatment, which is an evidence-based model in which parents and...

Cigna Members Gain Access to Virtual Alcohol Use Disorder Treatment

by Anuja Vaidya

Evernorth, the health services business of Cigna, is expanding member access to alcohol use disorder treatment services delivered through Monument's virtual platform. Per the new partnership,...

Cigna’s MDLIVE Deploys Remote Patient Monitoring Program

by Anuja Vaidya

Health insurance giant Cigna, like its competitors Humana and UnitedHealthcare, is entering the remote patient monitoring (RPM) arena. MDLIVE, a virtual care provider that is part of Cigna's...

NY Payer Launches Virtual Care Solution for Medicaid Members

by Anuja Vaidya

MVP Health Care, a nonprofit payer with members in New York and Vermont, has partnered with technology-driven medical group Galileo to launch a virtual primary and specialty care solution for Medicaid...

Ohio, New Jersey Governors Sign Telehealth Bills Into Law

by Anuja Vaidya

Ohio Gov. Mike DeWine and New Jersey Gov. Phil Murphy have signed into law bills that will expand access to telehealth in their respective states. DeWine signed the Telemedicine Expansion Act, which...

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