Payer Systems

HCTTF Welcomes Cigna Healthcare and NueHealth as New Members
Management & Administration HCTTF Welcomes Cigna Healthcare and NueHealth as New Members

In a significant stride toward reshaping the landscape of American health care, the Health Care Transformation Task Force (HCTTF) has recently expanded its roster by adding two prominent organizations to its membership, marking a pivotal moment for the collaborative group. This development

Why Are Medicare Advantage Patients Delayed in SNF Transfers?
Management & Administration Why Are Medicare Advantage Patients Delayed in SNF Transfers?

In the intricate web of modern healthcare, a pressing issue has emerged that impacts countless patients and providers alike: the delayed transfer of Medicare Advantage (MA) patients from hospitals to skilled nursing facilities (SNFs). These delays, often extending several days beyond what

How Can Value-Based Care Transform AFib Management?
Management & Administration How Can Value-Based Care Transform AFib Management?

Imagine a healthcare system where the focus shifts from merely treating symptoms to prioritizing long-term patient outcomes, especially for complex conditions like atrial fibrillation (AFib), which affects millions and often leads to severe complications such as stroke and heart failure. This

Florida's $4M Plea to Save Canadian Drug Import Program
Management & Administration Florida's $4M Plea to Save Canadian Drug Import Program

In a striking move to address soaring prescription drug costs, Florida has embarked on a groundbreaking initiative to import cheaper medications from Canada, becoming the first state to gain approval from the Food and Drug Administration (FDA) for such a program in early 2024. However, this

Barriers to Healthcare Payment Reform Unveiled at Summit
Management & Administration Barriers to Healthcare Payment Reform Unveiled at Summit

The U.S. healthcare system finds itself at a pivotal moment, wrestling with the pressing need to transition from outdated fee-for-service models to value-based care frameworks that emphasize quality and outcomes over the sheer volume of services provided. At the Digital Medicine Society’s

How Can We Hold Health Insurers Accountable for Care Delays?
Management & Administration How Can We Hold Health Insurers Accountable for Care Delays?

Imagine a patient with a chronic illness waiting weeks for a critical treatment, only to be told that their health insurer requires additional paperwork through a process called prior authorization, delaying care at a pivotal moment when they need it most. This scenario is far too common in the

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