Payer

By Heather Mack January 14, 2017
The Centers for Medicare and Medicaid Services has deemed certain therapeutic continuous blood glucose meters (CGMs) as durable medical equipment and thus are eligible for coverage. It’s not all cut and dry, of course. Eligible devices must fit several definitions: they must be a class III, FDA-approved device, and they must be CGMs that measure blood glucose levels periodically by using sensors...
By Heather Mack January 13, 2017
Health Savings Account provider HSA Health Plan has partnered with Boston-based Wellable, an employer wellness company, to offer an incentive program to its members. Wellable’s digital, customizable wellness platform is built around wearable devices and mobile apps, and through the partnership, HSA Health Plan members will be offered a Garmin vivoki. If they take at least 8,000 steps per day on...
By MHN Staff January 13, 2017
From groundbreaking legislation on chronic condition management and telemedicine to partnerships with innovative technology companies, payers made gains towards playing a larger role in digital health advancements in 2016. Previously, we rounded up all payer-related news for the first quarter, the second, and third, and here is our list of all coverage in the last quarter of 2016.   Taking...
By Jonah Comstock January 10, 2017
Greenville, South Carolina-based Proactive MD, which offers onsite health management services to employers (including full direct primary care services) has acquired Charlotte, North Carolina-based Verimoov, an employee wellness and patient engagement company offering a mobile app to track employees' movement and activity. The terms of the acquisition were undisclosed. "It is our vision to...
By Jonah Comstock January 5, 2017
San Francisco-based Castlight Health, which offers consumers a personalized health shopping platform, has announced the strategic acquisition of Mountain View, California-based digital health benefits platform Jiff. Castlight will pay about $135 million in the form of 27 million Castlight shares and options issued to Jiff equity holders. The two companies are both relatively early entrants into...
By Jonah Comstock January 4, 2017
The UK's National Health Service will soon begin a trial testing whether or not a chatbot can effectively replace a call center for non-emergency medical triage, according to a report from the Financial Times.  Babylon, a UK-based telemedicine startup, will power the six-month trial in north-central London, which will include 1.2 million covered citizens. Babylon is a major telemedicine provider...
By Heather Mack January 3, 2017
UnitedHealthcare’s wellness program Motion will soon offer participants the ability to use Fitbit’s Charge 2 to track activity metrics via a customized integration with Motion’s Frequency, Intensity and Tenacity (F.I.T.) program. Using the device, participants can track progress on their daily goals and earn financial incentives that can be applied towards their healthcare plan. United Healthcare...
By Jonah Comstock December 12, 2016
While the path to value-based care is necessarily a slow one for hospitals and health systems, prevention programs – focused on a single outcome measure for a single condition – are in a position to lead the way in charging for outcomes. Omada Health, the first digital diabetes prevention program, has been charging only for successful outcomes for a while. Noom announced yesterday that it will do...
By Jonah Comstock December 8, 2016
Independence Health Group, the parent company of Independence Blue Cross, will be one of three companies to pitch in $2 million toward a new funding initiative for early stage digital health companies in Philadelphia. Investor/accelerator groups Ben Franklin Technology Partners and Safeguard Scientifics will also pitch in $2 million each, making a total of $6 million available. "While we will...
By Jonah Comstock November 22, 2016
The Medicare Access and CHIP Reauthorization Act, or MACRA, is coming soon, and with it CMS's Quality Payment Program, which requires providers who bill Medicare more than $30,000 a year to report certain performance measures in order to adjust their payments based on performance.  For providers who don't have time to slog through the 2,400 page final rule, figuring out what those measures are...