The Rising Trend of Consumer Choice and What Members Want More Out of Their Plans

February 24, 2022

Most Health plans and much of healthcare, overall, have had their feet on the gas when it comes to more patient-centered care or consumer choice services. COVID-19 has clearly made it all about the consumer in many ways, but more specifically, in making care much more accessible.

Nurses Are Healthcare’s Frontlines. Now They Are Also Its Inventors.

February 16, 2022

Main Line Health in suburban Philadelphia has solicited ideas for inventions from nurses. Barbara Wadsworth, the healthcare system’s chief operating officer with 35 years experience as a nurse, has invented a device for cushioning patient falls in the bathroom.

Medicare’s Independence at Home Program Posts Disappointing Results

February 14, 2022

In the sixth year of Medicare’s Independence at Home Demonstration program, the initiative saved $41 per member per month, an amount that CMS says was not statistically significant and was lower than the savings the program produced in earlier years.

Johns Hopkins Program Saves Money

February 14, 2022

The Community Aging in Place—Advancing Better Living for Elders (CAPABLE) program developed at the university’s nursing school is designed to keep older people who are frail, have chronic medical conditions or can’t complete activities of daily living in their homes by providing care and help from conventional healthcare professionals — nurses, occupational therapists — but also from people who can do minor house repairs.

Health Plans, Insurance Issuers Are Failing to Deliver Full Access for Mental Health and Substance-use Disorder Benefits

January 26, 2022

A 2022 report by the Department of Labor cites specific examples of health plans and health insurance issuers failing to ensure parity. For instance, a health insurance issuer covered nutritional counseling for medical conditions like diabetes, but not for mental health conditions such as anorexia nervosa, bulimia nervosa and binge-eating disorder.