Consumer / Employer Coverage - MedCity News https://medcitynews.com/category/channel/consumer-employer/ Healthcare technology news, life science current events Thu, 13 Jun 2024 05:21:57 +0000 en-US hourly 1 https://wordpress.org/?v=6.5.3 228111745 Who Should Be Responsible for Rationing GLP-1s? https://medcitynews.com/2024/06/glp1s-rationing-shortage-cost/ https://medcitynews.com/2024/06/glp1s-rationing-shortage-cost/#respond Thu, 13 Jun 2024 05:20:02 +0000 https://medcitynews.com/?p=127227

There is a shortage of GLP-1s in the U.S. But experts have differing opinions on whose responsibility it is to be rationing the drugs.

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Report: MA Beneficiaries Spend $2,500 Less on Healthcare Than Traditional Medicare Beneficiaries https://medcitynews.com/2024/06/report-ma-beneficiaries-spend-2500-less-annually-than-traditional-medicare-beneficiaries/ https://medcitynews.com/2024/06/report-ma-beneficiaries-spend-2500-less-annually-than-traditional-medicare-beneficiaries/#respond Tue, 11 Jun 2024 18:48:20 +0000 https://medcitynews.com/?p=127189

A report conducted by ATI Advisory and commissioned by Better Medicare Alliance found that Medicare Advantage beneficiaries have lower healthcare spending than fee-for-service Medicare enrollees. This is true across racial and ethnic groups, according to the report.

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Pelago Launches Inpatient Centers of Excellence Network https://medcitynews.com/2024/06/pelago-launches-inpatient-centers-of-excellence-network/ https://medcitynews.com/2024/06/pelago-launches-inpatient-centers-of-excellence-network/#respond Mon, 10 Jun 2024 22:02:55 +0000 https://medcitynews.com/?p=127164

Pelago’s new Inpatient Centers of Excellence network offers Pelago members access to a nationwide network of inpatient substance use disorder treatment centers. The network includes organizations like the Recovery Centers of America and Banyan Treatment Centers.

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Report: Virtual MSK Solutions Meaningfully Improve Outcomes https://medcitynews.com/2024/06/msk-solutions-improve-outcomes-digital/ https://medcitynews.com/2024/06/msk-solutions-improve-outcomes-digital/#respond Fri, 07 Jun 2024 16:47:58 +0000 https://medcitynews.com/?p=127075

The Peterson Health Technology Institute recently released a report that evaluated eight musculoskeletal solutions: DarioHealth, Hinge Health, Kaia Health, Limber Health, Omada Health, RecoveryOne, Sword Health and Vori Health.

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INVEST Pitch Perfect Spotlight: How One Company Aims To Change Neonatal Feeding https://medcitynews.com/2024/06/neonatal-feeding-preterm-mother-milk/ https://medcitynews.com/2024/06/neonatal-feeding-preterm-mother-milk/#respond Thu, 06 Jun 2024 21:43:10 +0000 https://medcitynews.com/?p=127044

Mother’s Milk Is Best has a medical device that increases the ability to use a mother’s milk or a donor’s milk versus other fortification processes. Last month, judges selected the company as the winner of the consumer/employer track of MedCity News’ INVEST Pitch Perfect contest.

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Another Retailer Bites the Dust. Is There Still Hope for Retailers After Dollar General/DocGo End Pilot? https://medcitynews.com/2024/06/retail-healthcare-dollar-general-docgo/ https://medcitynews.com/2024/06/retail-healthcare-dollar-general-docgo/#respond Wed, 05 Jun 2024 22:38:07 +0000 https://medcitynews.com/?p=127014

Dollar General and DocGo have mutually decided to end their mobile clinic pilot. The decision comes as numerous retailers have struggled in the healthcare sector.

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5 Funding Announcements Made By Payer/Employer Companies In May https://medcitynews.com/2024/06/5-funding-announcements-made-by-payer-employer-companies-in-may/ https://medcitynews.com/2024/06/5-funding-announcements-made-by-payer-employer-companies-in-may/#respond Mon, 03 Jun 2024 21:22:22 +0000 https://medcitynews.com/?p=126917

Here is a list of some of the biggest funding rounds in the payer/employer space that were announced in May.

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Experiencing BCBA Burnout? Why It Happens and Tips to Combat It https://medcitynews.com/2024/05/experiencing-bcba-burnout-why-it-happens-and-tips-to-combat-it/ https://medcitynews.com/2024/05/experiencing-bcba-burnout-why-it-happens-and-tips-to-combat-it/#respond Fri, 31 May 2024 16:23:00 +0000 https://medcitynews.com/?p=126482

What contributes to the stress and what BCBA employers can do to alleviate it

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Healthcare Moves: A Monthly Summary of Hires and Layoffs https://medcitynews.com/2024/05/healthcare-executive-hire-layoffs-2/ https://medcitynews.com/2024/05/healthcare-executive-hire-layoffs-2/#respond Fri, 31 May 2024 14:55:31 +0000 https://medcitynews.com/?p=126795

Here is a selection of recent executive hires, promotions, retirements and layoffs occurring across the healthcare industry.

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Mental Health Inequities Could Cost $1.3 Trillion in 2040. How Can the Industry Prevent This? https://medcitynews.com/2024/05/mental-health-inequities-cost/ https://medcitynews.com/2024/05/mental-health-inequities-cost/#respond Thu, 30 May 2024 20:13:17 +0000 https://medcitynews.com/?p=126788

Mental health inequities are costing the U.S. $477.5 billion annually. This could rise to $1.3 trillion in 2040 if left unaddressed.

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J.D. Power: Customer Experience Gap Grows Among Commercial Health Plans https://medcitynews.com/2024/05/j-d-power-customer-experience-gap-grows-among-commercial-health-plans/ https://medcitynews.com/2024/05/j-d-power-customer-experience-gap-grows-among-commercial-health-plans/#respond Wed, 29 May 2024 22:59:58 +0000 https://medcitynews.com/?p=126740

A new J.D. Power ranking of commercial health plans found a major difference in customer satisfaction between the top and bottom-ranked health plans.

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MedCity FemFwd: How Employers Can Improve Maternal Health Outcomes https://medcitynews.com/2024/05/medcity-femfwd-how-employers-can-improve-maternal-health-outcomes/ https://medcitynews.com/2024/05/medcity-femfwd-how-employers-can-improve-maternal-health-outcomes/#respond Wed, 29 May 2024 18:57:27 +0000 https://medcitynews.com/?p=126710

In this episode, we’re joined by Randa Deaton, vice president of purchaser engagement at the Purchaser Business Group on Health. She talks about the organization’s new Comprehensive Maternity Care Common Purchasing Agreement.

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MedCity Pivot Podcast: A Conversation With Walgreens’ Head of Specialty Drugs https://medcitynews.com/2024/05/medcity-pivot-podcast-a-conversation-with-walgreens-head-of-specialty-drugs/ https://medcitynews.com/2024/05/medcity-pivot-podcast-a-conversation-with-walgreens-head-of-specialty-drugs/#respond Fri, 24 May 2024 22:24:38 +0000 https://medcitynews.com/?p=126610

Tracey James, chief operating officer of Walgreens’ specialty pharmacy business, talked about the retailer’s vision of innovating in the specialty pharmacy world, as well as about affordability and access.

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Lyra Health Announces Mental Health Offering for Teens https://medcitynews.com/2024/05/lyra-health-announces-mental-health-offering-for-teens/ https://medcitynews.com/2024/05/lyra-health-announces-mental-health-offering-for-teens/#respond Fri, 24 May 2024 19:29:43 +0000 https://medcitynews.com/?p=126627

Lyra Care for Teens will be available starting in June. Patients will gain access to therapists who specialize in evidence-based treatments and personalized digital lessons.

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Hims & Hers Offers Access to GLP-1s Starting At $199 A Month https://medcitynews.com/2024/05/hims-hers-compounded-glp1/ https://medcitynews.com/2024/05/hims-hers-compounded-glp1/#respond Thu, 23 May 2024 20:12:05 +0000 https://medcitynews.com/?p=126577

Hims & Hers is now providing access to compounded GLP-1s. Patients also receive unlimited medical consultations with a licensed provider.

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Why Healthcare Data Is Vital for Employers https://medcitynews.com/2024/05/employers-healthcare-data/ https://medcitynews.com/2024/05/employers-healthcare-data/#respond Wed, 22 May 2024 04:37:35 +0000 https://medcitynews.com/?p=126494

Employers need healthcare data in order to make decisions, but the data isn’t always easy to get, experts said on a panel at MedCity INVEST.

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Centivo Acquires a Primary Care Startup, Despite Others Fleeing the Space https://medcitynews.com/2024/05/centivo-acquisition-primary-care/ https://medcitynews.com/2024/05/centivo-acquisition-primary-care/#respond Mon, 20 May 2024 20:20:06 +0000 https://medcitynews.com/?p=126462

Centivo, a health plan that sells to self-funded employers, acquired virtual-first primary care startup Eden Health. With this acquisition, Centivo now serves more than 160 employers in all 50 states.

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‘The Time Is Now’: How Employers Can Offer Comprehensive Obesity Care https://medcitynews.com/2024/05/employers-obesity-care-glp1s/ https://medcitynews.com/2024/05/employers-obesity-care-glp1s/#respond Sun, 19 May 2024 13:44:00 +0000 https://medcitynews.com/?p=126416

Employers are in a unique position to drive change in obesity care, but face several challenges. Experts shared numerous strategies employers can implement.

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Employers Will Share Value-Based Care Strategies at MedCity INVEST https://medcitynews.com/2024/05/employers-will-share-value-based-care-strategies-at-medcity-invest/ https://medcitynews.com/2024/05/employers-will-share-value-based-care-strategies-at-medcity-invest/#respond Thu, 16 May 2024 11:56:42 +0000 https://medcitynews.com/?p=126334

At the MedCity INVEST conference from May 21-22 at the Ritz Carlton in Chicago, a panel discussion sponsored by Quantum Health will share how employers are addressing value-based care.

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Wisp Begins Offering Diagnostics Through Partnership With TBD Health https://medcitynews.com/2024/05/wisp-begins-offering-diagnostics-through-partnership-with-tbd-health/ https://medcitynews.com/2024/05/wisp-begins-offering-diagnostics-through-partnership-with-tbd-health/#respond Wed, 15 May 2024 22:33:52 +0000 https://medcitynews.com/?p=126331

Wisp members can now order TBD Health’s STI/STD testing kits on Wisp’s website for free delivery.

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Quantum Health Launches New Pharmacy Navigation Solution for Employers https://medcitynews.com/2024/05/specialty-pharmacy-navigation-employers/ https://medcitynews.com/2024/05/specialty-pharmacy-navigation-employers/#respond Tue, 14 May 2024 15:44:45 +0000 https://medcitynews.com/?p=126276

Quantum Health launched its Premier Pharmacy navigation solution on Tuesday. The solution helps members find safe and effective therapeutic alternatives to expensive medications.

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DOJ Launches Task Force on Healthcare Monopolies: Will It Make A Difference? https://medcitynews.com/2024/05/doj-task-force-healthcare-monopolies/ https://medcitynews.com/2024/05/doj-task-force-healthcare-monopolies/#respond Mon, 13 May 2024 20:46:04 +0000 https://medcitynews.com/?p=126240

The U.S. Department of Justice recently launched a task force on healthcare monopolies. Experts have varying opinions on how it will impact the healthcare industry.

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ŌURA Unveils 2 New Features for Heart Health https://medcitynews.com/2024/05/oura-unveils-2-new-features-for-heart-health/ https://medcitynews.com/2024/05/oura-unveils-2-new-features-for-heart-health/#respond Fri, 10 May 2024 19:23:58 +0000 https://medcitynews.com/?p=126173

ŌURA announced two new heart health features on Friday: one that estimates cardiovascular age and one that measures cardio capacity.

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Why Consumers Leave Their Payer/Provider https://medcitynews.com/2024/05/why-consumers-leave-their-payer-provider/ https://medcitynews.com/2024/05/why-consumers-leave-their-payer-provider/#respond Thu, 09 May 2024 22:17:20 +0000 https://medcitynews.com/?p=126122

Many consumers leave their provider because of navigation problems, while many leave their insurer because of experience issues, a new Accenture report found.

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Glen Tullman Has ‘No Interest’ In Selling Transcarent, But IPO Is a Possibility https://medcitynews.com/2024/05/glen-tullman-has-no-interest-in-selling-transcarent-but-ipo-is-a-possibility/ https://medcitynews.com/2024/05/glen-tullman-has-no-interest-in-selling-transcarent-but-ipo-is-a-possibility/#respond Wed, 08 May 2024 20:18:15 +0000 https://medcitynews.com/?p=126089

Transcarent recently announced that it raised $126 million in Series D funding led by General Catalyst and 7wireVentures. When asked what his exit strategy is, CEO Glen Tullman said he does not want to sell Transcarent, but sees an initial public offering as an option.

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Report: More Employers Are Looking To Deploy Value-Based Care https://medcitynews.com/2024/05/report-more-employers-are-looking-to-deploy-value-based-care/ https://medcitynews.com/2024/05/report-more-employers-are-looking-to-deploy-value-based-care/#respond Tue, 07 May 2024 21:47:18 +0000 https://medcitynews.com/?p=126072

More than a third of employers are integrating accountable care into their health benefits, according to a new report from the Milken Institute. However, there are several barriers.

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Biden Administration Extends ACA Coverage Eligibility to DACA Recipients https://medcitynews.com/2024/05/biden-administration-extends-aca-coverage-eligibility-to-daca-recipients/ https://medcitynews.com/2024/05/biden-administration-extends-aca-coverage-eligibility-to-daca-recipients/#respond Mon, 06 May 2024 19:57:08 +0000 https://medcitynews.com/?p=126046

Under a new final rule, eligible DACA recipients will be able to enroll in a Qualified Health Plan through the ACA Marketplace or through a Basic Health Program.

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Healthcare Is a Frontier Not Even Walmart Could Conquer  — And It’s Not Looking Great For Others Either https://medcitynews.com/2024/05/walmart-healthcare-telehealth-retail/ https://medcitynews.com/2024/05/walmart-healthcare-telehealth-retail/#respond Wed, 01 May 2024 23:01:03 +0000 https://medcitynews.com/?p=125920

Walmart’s decision to shutter its healthcare division reflects just how difficult it is to achieve profitability in the primary care and telehealth markets. Experts think retailers simply aren’t prepared to handle the bevy of challenges that come along with delivering healthcare — but could this news also be a sign of the system being broken?

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Healthcare Moves: A Monthly Summary of Hires and Layoffs https://medcitynews.com/2024/04/healthcare-executive-layoffs-4/ https://medcitynews.com/2024/04/healthcare-executive-layoffs-4/#respond Tue, 30 Apr 2024 22:31:09 +0000 https://medcitynews.com/?p=125895

Here is a selection of recent executive hires, promotions and layoffs occurring across the healthcare industry.

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Experts Aren’t Surprised About Optum Closing Its Virtual Care Business https://medcitynews.com/2024/04/optum-virtual-care-telehealth/ https://medcitynews.com/2024/04/optum-virtual-care-telehealth/#respond Sun, 28 Apr 2024 16:46:00 +0000 https://medcitynews.com/?p=125646

Optum is shutting down its virtual care unit after a three-year run. Industry experts agree that the closure reflects broader trends in the telehealth market, in which saturation and differentiation challenges are leading some providers to struggle.

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