DTR Analysis for July: HMO Enrollment
The shift of members from commercial fully-insured programs to employerself-funded programs continues as larger employers (300+ employees) seekto control their benefit structures and reduce overall costs; and as insurersmove from risk to administrative services only (ASO) programs. The so-calledconsumer-directed or employee-directed plans are a major driver of thisshift, according to Robert L. Trinka, MBA, chairman and chief executiveofficer of Uniphyd Corp., a Medicare managed care organization.
In this latest episode of Tuning In to the C-Suite podcast, Briana Contreras, an editor with MHE had the pleasure of meeting Loren McCaghy, director of consulting, health and consumer engagement and product insight at Accenture, to discuss the organization's latest report on U.S. consumers switching healthcare providers and insurance payers.
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Price Transparency Reveals Multiple Dimensions of Healthcare Inequities Beyond Just Patients
October 23rd 2024Pricing data shows that doctors serving these communities facing economic challenges are paid less by insurers, effectively penalizing doctors for working in areas where people most need their care.
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In our latest "Meet the Board" podcast episode, Managed Healthcare Executive Editors caught up with editorial advisory board member, Eric Hunter, CEO of CareOregon, to discuss a number of topics, one including the merger that never closed with SCAN Health Plan due to local opposition from Oregonians.
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