Patient Engagement
Tiered networks, value-based formularies and direct contracting with providers were correlated with lower costs.
As revenue cycles increasingly depend on patients to pay their healthcare bills, AI digital engagement increases the collection rate, says Dugan Winkie, head of Commercial Strategy at Cedar.
Ivor Jallah, 37, pleaded guilty earlier this year and has been sentenced to 120 months in federal prison.
According to the AMA, this has undercut fair payment for out-of-network healthcare services and eliminated market competition.
To the surprise of many patients, most of the doctors in this network don't accept their insurance plan, lawsuit alleges.
Oscar is launching a multi-condition plan for members with diabetes and pulmonary and cardiovascular disease.
Risk-based contracts became a financial lifeline for a challenging payer mix in southern Oregon, says Chief Executive Chris Pizzi.
The end-to-end program is meant to help employees more seamlessly access and manage their GLP-1 prescriptions.
Evernorth says its Oncology Benefit Services will allow employers to provide a "streamlined" cancer care experience.
Respondents say they are strongly considering not stocking the drugs because of potential low reimbursements from PBMs.