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Healthcare

AIA Singapore and Medix in May 2018 announced an exclusive partnership to offer Personal Medical Case Management Services (PMCM) to AIA customers. The service is said to be the first of its kind in Singapore and will help customers facing serious medical conditions by making sure they get the right diagnosis as fast as possible, have access to optimal treatment, and are supported through their treatment journey until recovery.

U.S. surgeon general Jerome Adams in April 2018 urged employers to help in fighting the opioid epidemic. He was speaking at a conference sponsored by the National Business Group on Health (NBGH), an association of large employers. Adams estimates that 2.1 million people in the U.S. are struggling with an opioid-use condition. While these drugs can be helpful for a short time, they pose serious addiction risks. Common opioids include

Efforts to increase workforce productivity have focused on upgraded technology, process improvement and better governance. A white paper released in March 2018 by Morneau Shepell suggests that it is now time to tackle the most complex element of improving workforce productivity: ensuring commitments to total health from employers and employees. Total Health: the last piece of the workforce productivity puzzle, by Dr. Bill Howatt, explains that workforce productivity, or

Three months after the December 2017 announcement that CVS Health had purchased Aetna, their respective shareholders on March 13, 2018 voted to approve the proposed $69 billion merger of the companies at special meetings. As discussed in an earlier post, the acquisition sets the stage for a new type of company that will include a health insurer, a retail pharmacy, and a pharmacy benefits manager that negotiates prescription drug

Men and women of all age groups have been visiting YouCanPlanForThis.org, a free website launched in September 2017 by independent nonprofit FAIR Health that enables New York State residents to plan their healthcare costs. The site offers cost lookup tools, powered by FAIR Health’s billions of private healthcare claims records, that allow consumers to estimate in-network and out of-network costs for thousands of medical procedures in their geographic areas,

75 percent of U.S. employees believe their health plan has never alerted them to a health risk, according to the HealthMine 2018 Rising Risk Survey that underscores the challenges health care plans face when educating members about potential health risks and when motivating them to take action to prevent becoming ill. Bryce Williams, President and CEO of HealthMine, pointed out that 86 percent of the US$2.7 trillion annual health

U.S. gross domestic product is at an all-time high. U.S. life expectancy is not. Life expectancy has fallen for the second time in two years – from a high of 78.9 years in 2014 to 78.6 years in 2016. It fell for men and women, whites, blacks and Hispanics. Statistics show that thousands were preventable, premature deaths.

Engineers at Cornell University have developed a simple method for gathering a patient’s vital signs using radio waves. Radio Frequency Identification (RFID) tags use low-power radio frequencies and are similar to the anti-theft tags we find in department stores. These ‘passive’ RFID tags require no batteries, and can transmit information such as heart rate, blood pressure, and breathing rates from multiple patients simultaneously. By measuring internal body motion, such

Sleep technology firm Shleep in December 2017 announced plans to showcase its neuroscience-driven sleep application at CES 2018. Available on iOS and Android mobile devices, Shleep is a fun, easy to use, science-based sleep coaching app that helps people change their behavior to improve sleep. Poor sleep has many negative effects More than a third of American adults are not getting enough sleep on a regular basis and, as

The announcement that CVS plans to acquire Aetna for US$69 billion raises hope and concerns. The transaction would create a new health care giant. Aetna is the third-largest health insurer in the United States, insuring about 46.7 million people.

Dariush Mozaffarian The national debate on health care is moving into a new, hopefully bipartisan phase. The fundamental underlying challenge is cost – the massive and ever-rising price of care which drives nearly all disputes, from access to benefit levels to Medicaid expansion. So far, policymakers have tried to reduce costs by tinkering with how care is delivered. But focusing on care delivery to save money is like trying

DaVita Medical Group, a U.S. independent medical group and a subsidiary of DaVita, and Optum, a health services company that is part of UnitedHealth Group, have agreed to merge as of 5 December 2017 for approximately $4.9 billion in cash. The transaction is expected to close in 2018 and is subject to regulatory approval and other customary closing conditions. DaVita, a Fortune 500 company, is the parent company of

The announcement that CVS Health has purchased Aetna, referred to in our earlier news item, was made on Sunday, 4 December 2017, laying to rest months of rumor and speculation. The acquisition sets the stage for a new type of company that will include a health insurer, a retail pharmacy, and a pharmacy benefits manager that negotiates prescription drug prices with drug-makers. The announcement comes at a time when

CVS Health, an American drug store chain that also operates walk-in health clinics and a pharmacy benefit business, in October 2017 was reported to be in talks to purchase Aetna Insurance in a deal that could be worth more than $60 billion based on Aetna’s current market value. This would make the purchase one of the largest in the history of the health industry. CVS, with the addition of

Management consulting firm McKinsey & Company in August 2017 published an article, “A 360-degree approach to patient adherence” that discusses how an insight-driven approach can help when patients drive up healthcare costs by neglecting their treatment regimens. The article points out that 50 to 60 percent of patients are likely to skip medications, follow-up appointments and other treatment protocols, which places them at risk for complications and overall worsening

U.S. healthcare organizations are finding it increasingly difficult to transition from fee-for-service to fee-for-value care because of competing priorities and uncertainty over regulations according to a report released in July 2017 by Ernst & Young’s Health Advisory Services.  The survey queried 700 U.S. healthcare professionals. Among the findings are four key factors that challenge the shift to value-driven care: System inefficiencies that escalate the cost of care delivery Clinical

Managing regulatory and compliance risk in the face of constantly evolving rules and guidelines is a significant challenge for both the payers and the providers who make up the United States’ healthcare industry, creating a market need for systems that can consistently support regulatory, reimbursement and compliance professionals. A June 2017 white paper from management consulting firm Frost & Sullivan, The Increasing Challenge of Managing Regulatory and Compliance Risk,

U.S. health insurance comparison platform HealthCare.com in June 2017 announced the launch of The CheckUp, a new online blog meant to equip Americans with the knowledge and insight to make better-informed decisions about their healthcare. More than one-third of Americans are unaware that “Obamacare” is another name for the Affordable Care Act, according to a poll conducted by Morning Consult earlier this year. Led by Ronald Barba, a veteran

Private insurance claim lines with opioid abuse and dependence diagnoses were found in every age group from 13-18 years to over 80 years, and in urban areas, in every age group from 13-18 years to 71-80 years. Further, claim lines with opioid abuse and dependence diagnoses were more concentrated among middle-aged people in rural settings, and young and middle-aged people in urban settings. These findings are based on a

The Provider Data Action Alliance, a U.S.-based non-profit cross-section of healthcare leaders, in July 2017 began work on a wide-ranging effort to improve the accuracy of provider data for industry stakeholders and patients. The alliance, which represents health, dental and vision plans; provider organizations, health systems, government and health information exchanges, has developed a roadmap that articulates actionable strategies and vision for obtaining and sharing high-quality provider information that

After much secrecy and no public deliberation, Senate Republicans finalized release their “draft” repeal and replace bill for the Affordable Care Act on June 22. Unquestionably, the released “draft” will not be the final version.

There is increasing international emphasis on patient-centered care at all levels of health services. This shift recognizes that it is the patient, not the doctor, who should drive health care decisions. Patient-centered care involves acknowledging that each patient is unique and health care decisions should be guided by individual needs, values, and preferences (Table).

In a letter addressed to leaders in the United States’ House of Representatives and shared with all House and Senate members, the American Academy of Actuaries’ Individual and Small Group Markets Committee and Medicaid Subcommittee in April 2017 provided an actuarial perspective on the American Health Care Act (AHCA). The analysis examines the effects on enrollment and on the risk pool of the AHCA’s replacement of the individual mandate

IPMI provider Now Health International in May 2017 announced that, after a comprehensive product review, they are offering significant changes to their flagship WorldCare product. The enhanced version of WorldCare will include a simplified annual deductible structure, higher benefit limits, and new added value services in response to feedback from its members and distribution network. Key enhancements include: Simple annual deductible Now based on a new deductible structure rather

Patient-centric healthcare starts with sharing decisions with physicians. Politicians and policymakers are discussing what parts of the Affordable Care Act to change and what to keep. While most of us have little control over those discussions, there is one health care topic that we can control: what we talk about with our doctor.

Healthcare reform in the U.S. provides for a steady stream of commentary, and it is sometimes useful to repeat some basic truths about … insurance.

Management consulting firm Frost & Sullivan in April 2017 announced findings by its Transformational Health team that suggest that analytics adoption among U.S. healthcare payers and providers is not consistent, and that some health systems might utilize advanced enterprise data processing architecture to derive patient-specific insight for every episode of care. Healthcare analytics is widely considered as the key enabler of value-based care, and robust use of analytics allows