Anthem, Humana, UnitedHealth Partner with Grocery Stores to Keep Members Healthy | FierceHealthPayer

Three insurers–Anthem, Humana and UnitedHealth–hope to compel their members to eat better by partnering with local grocery stores to create special member programs that provide discounts of up to 10 percent on certain healthy foods, reported Kenosha News.

The grocery programs show that insurers increasingly adopt a preventive care approach to insurance. UnitedHealth, for example, has been working to capitalize on the fact that retail is a “significant portion of individuals’ lives” by creating new retail partnerships so consumers can access all aspects of the insurance industry, Tom Paul, chief consumer officer at UnitedHealth, previously told FierceHealthPayer in an exclusive interview.

The nation’s largest insurer has recently partnered with Milwaukee, Wisconsin-based Roundy’s Supermarkets to launch its Healthy Savings program, which lets members save money on certain grocery products. (Read more at FierceheathPayer.com)

CIGNA Compass Uses Anticipatory Computing to Help Health Plan Customers Stay Healthy While Saving Money

BLOOMFIELD, Conn., January 14, 2015 – Global health service company, Cigna (NYSE: CI), announces today the release of Cigna CompassSM , a new web application designed to use anticipatory computing to guide U.S. health plan customers to proactively build their own personal health care team, save money, and get the most from their plans.

Cigna announced the introduction of the new digital experience at the National Business Group on Health’s 2015 Employers’ Summit on Health Care Costs and Solutions .

Cigna Compass synthesizes data related to a consumer’s medical plan use, biometric data, incentive information, claims history, and coaching program involvement. Those insights create personalized alerts to notify customers of their top opportunities to improve their health and lower their health care costs. Continue reading

Healthtech: Which Portland Company was Named a Top Digital Health Investor for 2014?

Cambia Health Solutions was one of the most active corporate investors in the digital health universe in 2014, according to Rock Health, a full-service seed fund for digital health based in San Francisco. (See the full story at: http://www.bizjournals.com/portland/blog/health-care-inc/2015/01/healthtech-which-portland-company-was-named-a-top.html

 

 

ConnectiCare Partners with Doctors Statewide; Sees Members’ Primary Care Visits Rise

Community Medical Group, Inc. (formerly known as New Haven Community Medical Group, Inc.) the Latest to Begin Collaboration Arrangement

FARMINGTON, CT (December 11, 2014) – ConnectiCare, Inc. and Affiliates, Connecticut’s local health plan, has made significant progress in getting its members to their doctors regularly through active collaboration arrangements with doctors statewide.  As a result, primary care visits are up and hospital admissions, readmissions and emergency room visits are down.

ConnectiCare has practice collaboration arrangements with eight Connecticut-based medical groups throughout the State including:  Integrated Care Partners (Hartford HealthCare), St. Francis HealthCare Partners, ProHealth Physicians, Connecticut State Medical Society IPA, Grove Hill Medical Group, Charlotte Hungerford Multi-Specialty Group and Connecticut Multi-Specialty Group.  Most recently, Community Medical Group, a physician-led independent practice association, based in New Haven has entered into a collaboration arrangement with ConnectiCare. Continue reading

Allegheny Health Network, Highmark Health and Johns Hopkins Medicine Announce Collaboration

PITTSBURGH, Pa., Dec. 22, 2014 (GLOBE NEWSWIRE) — via PRWEB – Officials at Highmark HealthAllegheny Health Network, Highmark Inc. and Johns Hopkins Medicine today announced the signing of a new master collaboration agreement that will complement the formal oncology collaboration that began earlier this year. These collaborations aim to leverage the collective strengths of the organizations and improve the availability and affordability of health care to Pennsylvania patients.

“Highmark Health is proud and excited to expand the scope of our partnership with Johns Hopkins to improve patient care today and in the future,” said David L. Holmberg, president and chief executive officer of Highmark Health. “Our goal is to ensure that patients have affordable access to high-quality health care services, and the increased collaboration we anticipate with Johns Hopkins through this agreement is an important step in the fulfillment of that mission.” Continue reading

Colorado Wins $65 Million Health Care Innovation Grant

GRAND JUNCTION, Colo., Dec. 17, 2014 /PRNewswire-USNewswire/ — The Centers for Medicare & Medicaid Services has awarded Colorado $65 million in State Innovation Model (SIM) funding to create a coordinated, accountable system of care that improves integration of physical and behavioral health services.

The award builds on an earlier planning grant Colorado received in 2013, which funded development and identification of four major goals:

  • Create a coordinated, accountable system of care that gives Coloradans access to integrated primary care and behavioral health.
  • Leverage the power of the public health system to achieve broader population health goals and support delivery of care.
  • Use outcomes-based payments to enable transformation.
  • Engage individuals in their care. Continue reading

Humana Launches Points of Care to Support Medicare Advantage Members in Managing Health

LOUISVILLE, Ky.–()–More than 2.9 million Humana Medicare Advantage members and their family and friends now have access to HumanaPointsofCare.com, a new online destination from Humana Inc. (NYSE: HUM), one of the nation’s leading health and well-being companies.

“Humana Points of Care enables Medicare members and their circle of support to maintain a sense of community on their journey to achieving optimal health”

Humana Points of Care offers a variety of comprehensive health and education tools to assist Humana Medicare Advantage members nationwide and provide support and resources for their family and friends which today account for approximately 65.7 million unpaid caregivers in the United States.  Continue reading

Cigna and Safeway Reference-Based Pricing Study Shows Employee Education and Online Shopping Tools Can Help Control Lab Costs

BLOOMFIELD, Conn. & PLEASANTON, Calif.–()–A study conducted by Cigna (NYSE: CI) and Safeway Inc. (NYSE: SWY), published in the December issue of the American Journal of Managed Care, shows that reference-based pricing can help control lab costs when individuals are supported with education and an online shopping tool.

“The understanding of reference pricing along with adoption of online tools to inform the consumer has increased significantly since the early days of 2011. Thoughtful application of reference pricing warrants consideration as a mechanism to improve value in health care and help individuals reduce their costs for certain services.”

The study, “Reference-based Pricing: An Evidenced-based Solution for Lab Services Shopping,” is the first published reference-based study to focus on lab services. Previous published studies have focused on the application of reference-based pricing to pharmaceuticals.

Reference-based pricing is a benefit design that sets a maximum contribution (reference price) from the health plan to pay for a particular service; in this case, lab services such as a lipid panel, comprehensive metabolic panel or prostate-specific antigen test. Employers see this type of benefit design as a way to incent employees to consider the price of services when making care decisions. Employees reap a savings when they choose services at or below the reference price. If they choose services above the reference price, they are responsible for the additional cost. Continue reading

Wellmark, Hy-Vee & UnityPoint Health Collaborate on New Health Insurance Plans

Wellmark Blue Cross and Blue Shield, Hy-Vee and UnityPoint Health jointly announced a unique new option in health insurance, collaboratively designed to reward customers for healthy behaviors. Blue RewardsSM integrates the true coordinated care of the UnityPoint Health provider network combined with the retail convenience of Hy-Vee’s pharmacy, healthy food, wellness and dietitian services all in an affordable ACA-health insurance option from Wellmark Blue Cross and Blue Shield.

“This collaboration is part of our strategy to keep health care local and sustainable, and promote health through convenience,” said Laura Jackson, Wellmark’s executive vice president for Health Care Innovation & Business Development. “We know consumers turn to brands they know and trust, which makes this collaboration among three strong Iowa brands even more meaningful for Iowans.” Continue reading