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Payers and mHealth

Medicare Advantage Members Are Using mHealth, But Their Plans Aren’t

June 11, 2018 - Medicare Advantage members are using mHealth tools to monitor chronic health conditions. However, the same can’t be said for their health plans. That disparity was picked up in HealthMine’s Medicare Report, based on a 2017 survey of some 500 MA members, 70 percent of which are living with at least one chronic condition. According to that report, a robust 77 percent say they’re...


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Kentucky OKs Telehealth, Coverage Parity for Medicaid Members

by Eric Wicklund

Kentucky lawmakers have enacted legislation to make telehealth and telemedicine services more readily available to Medicaid recipients. SB 112 was signed into law this week by Gov. Matt Bevin following votes of 36-0 in the State Senate and 65-20...

New Mobile Health Program Aims to Avoid Unnecessary ER Visits

by Eric Wicklund

The ambulance company serving New Mexico’s Valencia County is partnering with two health plans to launch a community paramedicine program, giving residents access to mobile health services in their homes. American Medical Response unveiled...

MA Payer’s Digital Health Platform Targets Members’ Health Needs

by Eric Wicklund

A Massachusetts payer is looking to connect its members with digital health programs promoting diabetes management and fertility, pregnancy and parenting guidance. The Emerging Solutions platform being introduced by Blue Cross Blue Shield of...

Employers Are High on Telehealth - But Not Necessarily on mHealth

by Eric Wicklund

More and more employers are making telehealth a part of their health plans – and they’re adding incentives so that employees will choose telehealth over a visit to the doctor’s office or emergency room or urgent care center....

Payer Launches Store-and-Forward Telehealth Service for Businesses

by Eric Wicklund

An Oregon-based health plan is launching an asynchronous telehealth service to large businesses to help employees get medical advice and prescriptions for common non-acute health issues. Cambia Health Solutions, a Portland-based non-profit selling...

UnitedHealth Gives MA Members an mHealth Link to Diabetes Care

by Eric Wicklund

UnitedHealth Group is launching an mHealth program to help its Medicaid Advantage members with type 2 diabetes. The insurer, which boast some 4.3 million seniors in its MA plans, is giving an undisclosed number of members the Dexcom Mobile Continuous...

Study: States’ Private Payer Laws Are Harming Telehealth Growth

by Eric Wicklund

Two-thirds of the states in the US may have laws to promote telehealth and telemedicine coverage by private payers, but many of those laws are weakly written, giving payers too much discretion to set their own ground rules and turning providers...

mHealth Gives Moms - New and Expecting - a Reassuring Resource

by Eric Wicklund

An Arizona-based health plan is launching an mHealth app that offers free video counseling to pregnant women and new moms on Medicaid. The Care1st Health Plan, part of the Florida-based WellCare Health Plan network, is rolling out the Pacify...

Ga. Payer Pushes Telehealth to Replace Unnecessary ER Visits

by Eric Wicklund

A Georgia insurer is taking strong steps to promote telehealth as a replacement for most emergency room visits. Starting in July, Blue Cross Blue Shield of Georgia will stop reimbursing for ER visits deemed to be unnecessary. The payer is recommending...

North Carolina lawmakers eye telemedicine payment parity

by Eric Wicklund

Lawmakers in North Carolina – a state with a long track record of telemedicine and mHealth innovation – are poised to debate a bill that would establish reimbursement parity for payers. H.B. 283 would mandate that health plans cover...

mHealth-based Workplace Wellness Programs Face Congressional Scrutiny

by Eric Wicklund

A bill quietly moving through Congress could have a significant impact on workplace wellness programs that use digital health tools. Opponents say HR 1313, the Preserving Employee Wellness Programs Act, could undermine mHealth-based employee...

WA State Payer Picks mHealth Application for Depression Care

by Thomas Beaton

Local payer Amerigroup Washington has chosen an mHealth application to help beneficiaries with mental health self-management, the organizations announced in a press release.  The collaboration, which aims to improve access to resources related...

UnitedHealthcare Announces a Huge Expansion of its mHealth Program

by Eric Wicklund

An mHealth program launched by one of the nation’s largest insurers that pays employees for meeting activity goals is getting a huge upgrade. UnitedHealthcare announced today at CES 2017 that it is expanding its Motion wellness program...

Survey: Consumers Want mHealth Convenience, But Payers Aren’t Prepared

by Eric Wicklund

A new study finds that consumers overwhelmingly prefer online communications with their doctor over in-person visits, and they’ll even risk the security of their health data for the convenience. In all, eight out of every 10 people surveyed...

Aetna, Apple Launch mHealth Partnership

by Eric Wicklund

Aetna is turning to Apple to get its members more interested in mHealth The payer is launching a new initiative to provide Apple Watches – in some instances fully subsidized – to employees and select member populations, beginning...

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