Payer

By Dave Muoio July 18, 2018
Centivo, a self-funded health plan supported by a digital platform, has brought in $34 million in a Series A funding round led by Bain Capital Ventures, the company announced today. Other backers include F-Prime Capital Partners, Maverick Ventures, Bessemer Venture Partners, Ingleside Investors, Rand Capital, Grand Central Tech Ventures, Oxeon Investments, and individual investors including Jim...
By Dave Muoio July 16, 2018
To expand beyond the small- and mid-size employer market, digital physical therapy, telehealth, and patient engagement platform Physitrack has launched two new enterprise-focused offerings for new or current customers. The first of these, called PhysiApp 2.0, is a revamp of the company’s patient-facing physical therapy app that is better suited for long-term treatment and guided patient education...
CMS releases new rule for payers about MIPS, fee schedule
By Mike Miliard July 16, 2018
The "historic changes" announced late yesterday by the Centers for Medicare & Medicaid Services, promising big adjustments to its policies around the Physician Fee Schedule and the Quality Payment Program, already have the healthcare industry talking. CMS says it wants to incentivize the use of and access to virtual care and telehealth, to ease the quality reporting burden on physicians by...
By Dave Muoio July 13, 2018
Key Benefit Administrators (KBA), an Illinois-based administrator of self-funded employee welfare benefit plans for enterprises, has brought a lawsuit against Teladoc alleging a breach in obligations, pecuniary loss, defamation, and tortious interference all stemming from $450,000 in overcharges. In a statement to MobiHealthNews, Teladoc said that it was “optimistic” that this dispute could be...
By Jonah Comstock July 12, 2018
The Centers for Medicare and Medicaid Services released its new proposed Physician Fee Schedule and Qualified Payment Program updates for 2019, and the announcement includes some big strides forward in promoting digital health technology, including widened telemedicine coverage, an overhaul of documentation requirements, and a new focus on interoperability. "Today is a huge win for patients and...
By Jonah Comstock July 12, 2018
Healthcare data platform company Innovaccer has launched ACO Advisor, a new free online tool that uses publicly available data to advise Accountable Care Organizations on how to reduce costs and increase revenues. “It has been six years since the ACO program was started, but still most of them are leaving money on the table by not assuming enough risks,” Abhinav Shashank, CEO cofounder at...
By Dave Muoio July 11, 2018
In 2016, UnitedHealthcare and Medtronic cut a deal that established the latter’s devices as the preferred insulin pumps for United members with diabetes. Now, the companies have announced year one data suggesting that members who took advantage of the companies’ arrangement experienced fewer preventable hospital admissions when compared to members relying on multiple daily injections of insulin...
By Jonah Comstock July 9, 2018
WellDoc has expanded its BlueStar digital diabetes management platform to include a weight loss feature and a feature for those with both diabetes and hypertension. A standalone product for hypertension is also coming from the company later this year. “The American Diabetes Association reports that nearly one in three American adults has hypertension, and two in three people with diabetes have...
5 payers launch blockchain partnership
By Dave Muoio July 6, 2018
This quarter saw a handful of digital health stories regarding payers and their new digital offerings, especially in the area of diabetes care. However, the past few months also saw headlines regarding CMS payments, payer-backed investigations into novel technologies, and other moves from insurers looking to better leverage digital healthcare. Read on for MobiHealthNews’ roundup of payer news...
By Jonah Comstock July 2, 2018
Healthy Interactions, a population health company that offers both digital and in-person programs for chronic disease management and education, announced last week that it has added two new programs, for cardiovascular disease and depression, to its portfolio.  The company's initial focus was on diabetes, and it launched its original program, diabetes self-management education and support, in...