payers

By Brian Dolan 03:40 am July 8, 2010
“You are not going to get paid for cool ideas. You are not going to get paid for saving lives. You are not going to get paid for anything unless you can prove that you can save them money.” If that sounds familiar, it may be because I started an editorial with those same words almost a year ago today. Or maybe you heard CardioNet founder (now Patient Safe Solutions CEO) James Sweeney speak at the...
By Brian Dolan 05:57 am July 7, 2010
More bad news on the reimbursement front for CardioNet and other mobile cardiac outpatient telemetry service providers: United Healthcare told the company that it is maintaining its position that “outpatient cardiovascular telemetry is unproven for managing cardiac arrhythmias" and as a result it will not cover the service for its members. CardioNet, of course, disagrees and promised to continue...
By Brian Dolan 01:00 am June 24, 2010
At the end of January it became clear that one of the key mobile health industry partnerships would soon be coming to an end: AllOne Mobile offered Diversinet a $3 million break-up fee. Six months later after the two companies finally came to a settlement, AllOne Mobile has agreed to pay Diversinet $4 million. AllOne's parent company has also agreed to relinquish its almost 7 million shares in...
By Brian Dolan 01:31 am June 10, 2010
“Health insurance is the only industry that doesn’t have a causal linkage to rates. In auto you pay more when you have accidents. This is the first time we’re doing this in health,” Virgin Healthmiles, CEO, Sean Forbes told ZDNet in a recent interview. By using blood pressure monitors, pedometers and other devices, Virgin Healthmiles measures compliance closely and discounts are tweaked based on...
By Brian Dolan 01:10 am May 13, 2010
"The wireless health industry needs to focus more on lower cost solutions," West Wireless Health Institute CEO Don Casey told MobiHealthNews during an interview at the Wireless Life-Sciences Alliance this week. "Instead, the industry is too focused on leveraging specific technologies to deliver a wireless data set that only increases utilization of the system and therefore costs. If we are able...
By Brian Dolan 12:02 pm April 14, 2010
Kaiser Permanente Southern California recently announced plans to pilot FitOrbit's online and mobile fitness training services to selected members who are trying to lose weight. KP Southern California serves some 3 million residents but the pilot is open to members who are 29 to 45 years old, 25 or more pounds overweight, and have regular Internet access at home or work. FitOrbit offers a "...
By Brian Dolan 11:24 am April 14, 2010
An "odd couple" is how the New York Times described the pairing of insurer UnitedHealth and community fitness center chain YMCA. In an effort to prevent members from developing diabetes, UnitedHealth Group announced this week that it would pay for 16-week at the YMCA that explain how changes in eating, exercise and other lifestyle habits can help prevent Type 2 diabetes. The program is free for...
By Brian Dolan 09:59 am March 10, 2010
Some 35,000 patients in Buffalo, NY with BlueCross BlueShield of Western New York plans will soon have 24 hour access to their physicians via web cams, phone or secure text messages, according to the healthcare insurance provider. BCBS is working with American Well for some of the technology and integrating with Microsoft's HealthVault personal health platform to better connect patients and...