Medicare’s five-star quality ratings system reflects how well a health plan meets member needs and federal recommendations on patient care. Performance ratings, which are publicly published on Medicare.gov, influence consumer perception of payers and have a direct impact on a health plan’s member enrollment, revenue and potential to earn bonus incentives. Member enrollment. A one-star… Read More »
Sales of Eli Lilly’s migraine and cluster headache med Emgality have lagged behind competitors from Amgen and Novartis and Teva Pharmaceutical. And in its push to bring payers on board, Lilly is deploying a full-court press with some new patient data. Just 5% of frequent migraine sufferers who seek emergency care for their symptoms are treated… Read More »
Dive Brief: The U.S. Department of Justice has asked the U.S. Supreme Court to dismiss payer lawsuits seeking roughly $ 12.3 billion in federal risk corridors payments, which were meant to level the playing field for insurers in the Affordable Care Act’s individual marketplace. According to a claim filed by DOJ officials Wednesday, the Trump administration… Read More »
Health insurers are establishing innovative ways to provide better care and improve the overall patient experience, according to America’s Health Insurance Plans. That’s why insurers are investing in patient portals, mobile apps, telehealth and other personalized tools, like those that focus on social determinants of health, says Cathryn Donaldson, director of communications at AHIP. The… Read More »