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Editorial

Medicare Advantage Rewards and Incentives: Are we there yet?

Betsy Seals, Gorman Health Group

Yes, Medicare Advantage is finally catching up to the rest of the health care industry, and we are now permitted to offer enrollees Rewards and Incentives.

2015: The perfect storm has arrived

Ray Desrochers, HealthEdge

There is little doubt that the perfect storm is here. A combination of regulatory requirements, changing employer attitudes and consumer buying habits has hit hard, and health insurers are taking the appropriate steps to ensure that they don't become the next Andrea Gail. For many health plans, 2015 will be the year of technology.

Feature Video

President Obama acknowledges the technical issues with HealthCare.gov, pledging his Administration will resolve them soon and asserting that the distressed web portal is not the only way to shop for affordable health insurance available through the ACA.

 

Three years after launching a 750-patient Medicare Advantage collaborative care pilot, Portland, Maine-based independent physician practice NovaHealth and insurer Aetna have shown concrete results in improving care quality and reducing costs. Technology and provider-payer cooperation played a large part in the program's success.

Another health insurer is investing in a digital differentiator, offering members access to telehealth and choices in using it.

One Blue insurer will find out just how much employer appetite there is for health plans with limited but transparent networks branded as both accountable and affordable.

The land of the Green Mountains, dairy farms and maple syrup is no longer pursuing the progressive dream of a single payer healthcare system, although it may still be on the vanguard trying to regulate affordability and access.

One Medicare Advantage company offers a parable for what can go wrong in the business of managed healthcare.

Private physician practices may soon be a thing of the past, according to a new survey that shows them dwindling year over year as more doctors opt to become part of a hospital or health system.

Deep inside the massive short-term spending bill awaiting President Obama's signature are provisions that could rattle the insurance industry.

WellCare has been trying to shake off its past transgressions and grow amid speculation of being a target for acquisition, and now its executive suite is ready for business.

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