Healthcare Dive - Practice Management

OCTOBER 3, 2024

Only 25% of Humana members will be in plans with four stars or above next year, down from 94% this year, the insurer disclosed Wednesday. The downgrade could wipe out Humana’s profits in 2026.

Insurance 117

Insurance 117

Healthcare Dive - Practice Management

AUGUST 7, 2024

Insurers cited workforce shortages, hospital consolidation and growing demand for pricey GLP-1 drugs as reasons driving the premium increases for 2025.

Insurance 107

Insurance Hospital 107

Health Populi

JULY 18, 2024

Motor vehicle insurance costs grew a whopping 19.5% Following the BLS report on the CPI for June 2024, PwC published their new annual report from PwC titled Behind the Numbers 2025 tells us that commercial health care spending is expected to grow some 8.0% and 3.2%, respectively. in the report, FYI). for Group plans and 7.5%

Hospital 71

Hospital Insurance Follow-Up Medication 71

Healthcare Dive - Practice Management

OCTOBER 23, 2024

Centene is emulating other insurers unhappy with how regulators handled quality ratings for 2025. The flurry of complaints is “symptomatic of what appear to be systemic issues” with CMS calculations, Centene said.

Insurance 107

Insurance 107

Healthcare Dive - Practice Management

SEPTEMBER 9, 2024

The insurer’s Wellpoint subsidiary is expanding its ACA footprint for the 2025 coverage year, likely in a bid to capture enrollees who recently lost Medicaid coverage.

Insurance 103

Insurance 103

Health Populi

DECEMBER 30, 2024

The 2025 convening of CES (once known as the Consumer Electronics Show) in Las Vegas officially kicks off on 7 January 2025. More granularly, Ill be looking into Sleep-tech: The square footage of CES convention floor space devoted to sleep has been significant and visible, with 2025 growing new products and sleep-tech flavors.

Scheduling 62

Scheduling Medication Billing Insurance 62

Healthcare Dive - Practice Management

NOVEMBER 4, 2024

The payer joins several other insurers suing federal regulators over the 2025 quality ratings, which Elevance argues will cost it at least $375 million in bonus payments and rebates.

Insurance 102

Insurance 102

Medical Economics

DECEMBER 11, 2024

The malpractice insurance market is facing a number of challenges. What does that mean for rates in 2025?

Insurance 59

Insurance 59

Health Populi

SEPTEMBER 11, 2019

as a “health insurance company” evolving to its vision as technology-informed health care. “People think of Humana as insurance company but we feel we’re more about integrated health care…(We’re) trying to make the pivot as a health partner, a tech company delivering health care.

Insurance 88

Insurance Collaboration Patient Experience 88

CollaborateMD

JANUARY 17, 2025

Fierce Healthcare just issued a 2025 healthcare outlook with several key findings, including: An American Hospital Association (AHA) report published in 2024 finds reimbursement from government payers is not keeping pace with the high costs of drugs, labor, and supplies and the inflation rate. Expensive technologies.

Billing 52

Billing Insurance Hospital Medication 52

Health Populi

JUNE 11, 2024

This year, I opted for a 2025 Subaru Forester and a year’s tuition for a New Mexico resident living off-campus for 2023-24 attending University of New Mexico.

Medication 77

Medication Follow-Up Billing Insurance 77

Medical Economics

OCTOBER 28, 2024

Congressional action needed before premium tax credits expire at end of 2025.

Insurance 64

Insurance 64

Medical Economics

JANUARY 9, 2025

With time still left to enroll, the 2025 marketplace open enrollment period has seen 11.6 million more enrollees compared to 2021.

Insurance 52

Insurance 52

Practice Index

NOVEMBER 21, 2024

You’ll have seen in the press lately a lot of attention being paid to the National Insurance and National Living Wage increases being introduced from April 2025. However, not private enough to be able to obtain the same relief on the National Insurance increase that other private, small businesses can. So, which is it?

Insurance 98

Insurance Appointments 98

Practice Index

JANUARY 2, 2025

pay rise for GPs in 2025/26. The next GP contract: promises and uncertainty When it comes to funding, the Government sneaked in, just before the festive period, early details of the next GP contract for 2025/26. Before Christmas, the Government announced its proposal for a 2.8%

Follow-Up 98

Follow-Up Insurance Patient Care Medication 98

Health Populi

SEPTEMBER 25, 2018

But consider the statistic that, according to the Association of American Medical Colleges, there will be a shortage of 65,500 physicians expected in 2020, and 90,400 in 2025. Across political party, most Americans also favor some flavor of universal health insurance. This is sobering through just the N=1 physician lens.

Insurance 91

Insurance Patient Care Medication 91

Healthcare Dive - Practice Management

JULY 24, 2024

The acquisition, expected to close in the first half of 2025, will bring the health insurer into Connecticut.

Insurance 60

Insurance 60

Amber Pharmacy

OCTOBER 16, 2024

It’s important to know about big changes coming to Medicare Part D in 2025 that can help you manage your prescription costs more easily. Here’s what will be different: $2,000 Out-of-Pocket Limit: In 2025, you won’t have to pay more than $2,000 for your medications in a year. This means more predictable costs throughout the year.

Insurance 52

Insurance Medication 52

Health Populi

OCTOBER 14, 2024

In 2024 the average annual health insurance premium for family coverage is $25,572, split by 75% covered by the employer (just over $19,000) and 25% borne by the employee ($6,296), shown in the first chart from the report. companies’ spending on workers’ health care. will indeed keep on keepin’ on.

Insurance 62

Insurance Follow-Up 62

Health Populi

MARCH 21, 2019

per average internet user per month in 2025, $3.18 Health Populi’s Hot Points: As experience and service become mantras in health care @ retail, it’s useful to call out a recent announcement from VSP, among the largest eyecare insurance providers. Globally, that calculated to a value of $2.36 for Americans.

HIPAA 102

HIPAA Insurance Patient Care Billing 102

Practice Index

JANUARY 9, 2025

. - While supporting practices to set up Holiday Manager, weve heard some questions that pop up again and again, so if youre thinking about starting 2025 with a better way of managing your leave, read on! Read more Practice Index Ultimate Social Media Planner 2025 [FREE] - You told us how much you loved it!

Follow-Up 59

Follow-Up Insurance Documentation Communication 59

Health Populi

OCTOBER 26, 2022

By 2025, some 47% of healthcare workers plan to leave their positions by 2025, asserted in a report from Definitive Healthcare published in October 2022.

Patient Satisfaction 71

Patient Satisfaction Insurance Medication Patient Experience 71

The Healthcare Blog

NOVEMBER 12, 2024

The most glaring example involves Medicare Advantage, the increasingly popular insurer-run plans that are an alternative to traditional fee-for-service Medicare. For instance, one large insurer contract that I tracked included at least 17 plans scattered across the country. It’s a long-accepted truism that “All health care is local.”

Insurance 68

Insurance 68

Health Populi

OCTOBER 17, 2023

Bank’s expectation that the “use of digital payments is set to surge” by 2025. “The relationship between healthcare provider, patient and insurance payor is a complex one,” the U.S. Banks experience. The chart here illustrates U.S.

Billing 83

Billing Patient Experience Follow-Up Insurance 83

Health Populi

OCTOBER 10, 2022

And it’s crucial for incumbent health care suppliers — hospitals, pharma, devices and supplies, and health plans — to assess, learn, strategize and execute on the potential shift of $265 billion of care services that McKinsey expects to migrate to the home by 2025. Why, that’s just some months away from “now.”

Acute Care 62

Acute Care Hospital Long Term Care Insurance 62

The Healthcare Blog

MARCH 12, 2024

During an earnings call last month , President and CEO Kirk Tanner outlined the company’s plan to try a new form of pricing: “Beginning as early as 2025, we will begin testing more enhanced features like dynamic pricing and day-part offerings along with AI-enabled menu changes and suggestive selling.” By KIM BELLARD Nice try, Wendy’s.

Hospice 95

Hospice Appointments Tests Insurance 95

The Healthcare Blog

DECEMBER 10, 2024

What were left with entering into 2025 are a smorgasbord of solutions clamoring to attach themselves to traditional enterprise incumbents (Health Insurance Providers, Electronic Health Records, Hospital Systems). non-insured, minimally-insured, students, etc.)

Insurance 68

Insurance Follow-Up Collaboration Patient Support 68

Health Populi

NOVEMBER 18, 2024

health consumers is with the health care system industry segments like hospitals, insurance companies, and pharma — as patients differentiate between the “system” and the “people” working in it. Start with over-arching finding that, “Three out of four patients believe the U.S.

Insurance 62

Insurance Patient Centered Care Communication Medication 62

Healthcare Law Insights blog

MARCH 12, 2024

5] MHPAEA requires covered individual and group health plans and issuers of health insurance (collectively “Health Plans”) to collect and evaluate data and address the material differences between access to MH/SUD benefits when compared to medical/surgical benefits. 1] Substance Abuse Mental Health Servs. 2020), [link]. [2] 2] David C.

Documentation 64

Documentation Insurance Medication 64

Health Prime

DECEMBER 18, 2024

Were shifting our focus to the reports you should run regularly in 2025 to keep a pulse on your practices ongoing performance. It categorizes unpaid patient invoices and insurance claims by age, typically in 30-day increments. In one of our past blogs, we delved into the end-of-year reports you should run in your practice.

Medication 52

Medication Billing Documentation Appointments 52

Health Populi

DECEMBER 18, 2024

Nvidia could be a $5 trillion company in 2025, as could Amazon. The fastest-growth spending by payer was for private health insurance, increasing by 11.5% In addition, CMS also noted an increase in private health insurance spending as well as Medicare due to the rough flu season in 2023. trillion in 2023. the previous year.

Insurance 62

Insurance Hospital Medication 62

Relias

JUNE 19, 2023

The Substance Abuse and Mental Health Services Administration (SAMHSA) predicts that, by 2025, the U.S. This new evidence suggests that the pandemic will continue to have long-term effects on staffing, leaving emotional and psychological trauma in its wake. This disparity is part of a larger problem.

Communication 97

Communication Follow-Up Insurance 97

Health Populi

JULY 13, 2020

For health care, the data portrayed in the next chart will be concerning: the Medicare and Social Security Trust Funds are expected to hit “zero” (the X-access) by 2025 and just after 2030, respectively. The Medicare Trust Fund is financed by payroll taxes, general tax revenue, and the premiums enrollees pay. of the U.S.

Hospital 110

Hospital Collaboration Billing Communication 110

Health Prime

DECEMBER 11, 2024

Also, follow up with insurance companies to settle those claims immediately. Payment verification: Check each payment received against the expected receipt from the insurance provider and the patient. This way, any discrepancy may be caught early. Accurate information helps avoid claim denials due to incorrect patient information.

Billing 52

Billing Medication Follow-Up Insurance 52

Health Prime

DECEMBER 18, 2024

Were shifting our focus to the reports you should run regularly in 2025 to keep a pulse on your practices ongoing performance. It categorizes unpaid patient invoices and insurance claims by age, typically in 30-day increments. In one of our past blogs, we delved into the end-of-year reports you should run in your practice.

Medication 52

Medication Billing Documentation Appointments 52

Health Populi

FEBRUARY 16, 2023

hospital sector is facing major challenges on all fronts: staffing (especially nursing and more broadly, clinician burnout), supply chain, financial stressors, demographics, and cross-industry politics vis-à-vis pharma and health insurance. markets by 2025 and planning for 1,000 by 2027.

Hospital 71

Hospital Acute Care Diagnostics Patient Experience 71

Sensible Medicine

JULY 30, 2024

This cohort was primarily made up of insured, educated, and non-Hispanic white patients. A trial to be on the lookout for beginning in 2025 is the 54 million dollar funded TRANSFORM trial. For this reason, we question whether the author's conclusion is warranted. The article is more hypothesis-generating than conclusive.

Follow-Up 78

Follow-Up Tests Medication Insurance 78