Tag: health insurance

Virtual-First Health Plans: The Future of Primary Care?

Virtual-First Health Plans: The Future of Telemedicine or a Risky Bet?

How Insurers Are Reshaping Primary Care with Telehealth During the height of the COVID-19 pandemic, telemedicine skyrocketed in popularity as a safe, convenient way for patients to connect with healthcare providers. Today, insurers are banking on its staying power by introducing virtual-first health plans—some of which require patients to start their primary care journey online […]
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Top 3 Member Engagement Benefits of Using Omnichannel Tools

Top 3 Member Engagement Benefits of Using Omnichannel Tools

Omnichannel strategies are becoming increasingly significant to successful member engagement. What is omnichannel engagement? Omnichannel engagement is a strategy that originated as a sales and marketing term but has infiltrated various sectors of the healthcare industry with the rise of healthcare consumerism. This strategy involves using various consumer touchpoints to push a product in a […]
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Follow these 5 steps to Ensure HIPAA-compliance when texting patients

Follow these 5 steps to Ensure HIPAA-compliance when texting patients

As long as providers remain HIPAA-compliant, they will be able to text patients with ease and see all the benefits that it brings — including stronger patient loyalty, more revenue, and more referrals. Many people, and that includes patients, prefer to text because it’s quick, easy, and convenient. Texting is incredibly effective for medical practices […]
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Dos And Don’ts For Managing Inpatient-to-observation Status Downgrades

Dos And Don’ts For Managing Inpatient-to-observation Status Downgrades

  In the newest episode of the HealthLeaders Revenue Cycle Podcast, Charlie Brown, MBA, a former hospital executive and vice president of revenue cycle at a consulting firm, provides actionable steps for mitigating status downgrades and dealing with them effectively to ensure that organizations receive the full reimbursement for the services they provided. In his […]
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$4.8B to COVID-19 Testing Reimbursement for the Uninsured

$4.8B to COVID-19 Testing Reimbursement for the Uninsured

HHS will designate $4.8B from the American Rescue Plan to COVID-19 testing reimbursement under the HRSA COVID-19 Uninsured Program. Under the Health Resources and Services Administration (HRSA), HHS announced it will allocate $4.8 billion to COVID-19 testing reimbursement for the uninsured as part of the American Rescue Plan. There are currently approximately 29 million uninsured […]
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CMS Issues Long-Awaited, Controversial Final Rule on Price Transparency

CMS Issues Long-Awaited, Controversial Final Rule on Price Transparency

  A long-awaited and controversial final rule on healthcare price transparency was released Thursday by the federal government. The rule, mandated under a June 2019 executive order by President Donald Trump, requires private group health plans and individual health insurance market plans to disclose pricing and cost-sharing information in a consumer-friendly format. The mandate, which takes effect on January […]
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A Rebeginner Guide to Peer-to-Peer Appeals

A Rebeginner’s Guide to Peer-to-Peer Appeals

Suggestions for conducting peer-to-peer appeals for denials. If you are wondering why you should read this if you think you are not a rebeginner, well, it is because you actually are one. Beginnings do not disappear, they just reproduce. Novices are just starting, veterans have started over and over. We all begin as beginners and […]
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Are Chargemasters Making Medical Billing

Are Chargemasters Making Medical Billing More Transparent?

When it comes to a trip to the hospital we all know costs can add up quickly, but do you really know exactly what you’re paying for? Well, since January 1, a federal regulation has required hospitals to post machine-readable documents detailing everything they charge for called chargemasters. Though a debate has been raised into […]
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