Payer

By Jonah Comstock March 24, 2017
In January, the Centers for Medicare and Medicaid Services announced that it would cover continuous glucose monitoring for the first time; specifically it would cover therapeutic CGMs, of which the only one currently recognized is the Dexcom G5. That coverage officially kicks in today, now that CMS has issued the billing codes providers can use to get reimbursed. “This is a new era and a huge win...
By Heather Mack March 24, 2017
The University of Pittsburgh Medical Center (UPMC) Health Plan has launched an app-based, 24/7 telemedicine service to offer patients across Pennsylvania video visits from UPMC emergency room nurses and clinicians. Initially launched on desktop in November 2016 to UPMC Health Plan employees, the app version of AnywhereCare is now available to all patients within the state. Even though emergency...
By Jonah Comstock March 9, 2017
A study published in Health Affairs and conducted by the RAND Corporation made a big splash this week with a bold claim: That telemedicine doesn’t actually reduce healthcare costs because the increased convenience leads to increased utilization, which ultimately costs more than in-person care would have. The study looked at claims data from a cohort of 300,000 employees with access to Teladoc...
By Jonah Comstock March 7, 2017
Google-backed Quartet Health, which uses technology to promote collaborative care for mental health conditions, will work with Humana to improve the mental and physical health of New Orleans residents. The initiative is part of Humana's Bold Goal initiative to make its communities 20 percent healthier by 2020. Humana and Quartet chose New Orleans because it has a high incidence of chronic...
By Jeff Lagasse March 7, 2017
For health plans and employers, one of the key attractions of telehealth is the potential savings involved in replacing physician office and emergency department visits with less expensive virtual visits. But new findings published in the journal Health Affairs suggest that telehealth may increase overall healthcare spending by increasing utilization. In fact, in looking at commercial claims data...
By Heather Mack March 3, 2017
Last year was an important one for San Francisco-based Castlight Health, as it was the first full year of availability for their health benefits platform, and that led to a strong finish in the final quarter of 2016 in the form of $101.7 million in total revenue and $95 million in subscription revenue, which each represent a 35 percent increase year over year. On a call with investors, Castlight...
By Jonah Comstock March 2, 2017
Even when an employer or insurer offer their members innovative digital health products, for a healthcare consumer looking for a solution to a problem, it can be hard to know what's out there and what works. Collective Health, an employee benefits platform that raised more than $100 million in VC funding in 2015, is aiming to solve that problem with the help of predictive analytics. Collective...
By Heather Mack February 28, 2017
As innovative as some of the newer devices that capture health metrics may be, applying the word “fun” to their use may be a stretch. But Cigna, in partnership with Microsoft, wants to change that with the introduction of a new digital health tool called the BioBall: a handheld, electronic orb that works with a virtual reality headset to guide users through an interactive game while measuring a...
By Heather Mack February 6, 2017
Heart disease is the leading cause of death in the United States, and most people are already on their way towards that fate: 99 percent of the population has at least one of seven cardiovascular health risks. In addition to being incredibly common, it’s costly – racking up $207 billion per year in medical expenditures and lost productivity. But a new study suggests workplace programs that...
By Heather Mack February 1, 2017
Chronic disease prevention and management company Solera Health has partnered with Blue Shield of California to offer Diabetes Prevention Programs (DPPs) to commercial health plan members. Blue Shield members can access the Solera program –  which offers both digital and in-person programs through a network of 1,000 CDC- recognized DPPs, – at no extra cost through Wellvolution, Blue Shield’s...