payers

By Jonah Comstock October 20, 2015
Collective Health, a software company that helps small employers transition to self-funded plans, has raised another $81 million, bringing its total funding to $119 million. Google Ventures was the sole new investor in the round. Returning investors NEA, Founders Fund, Maverick Capital, Redpoint Ventures and RRE Ventures also contributed. Up until now Collective Health has been operating only in...
By Brian Dolan July 2, 2015
At the beginning of 2015, CMS began reimbursing physicians for the care they provide to a particular group of their Medicare patients remotely and between visits. This new billing code, called Chronic Care Management (CCM), required that this remote care meet a few criteria, like patients must have two or more chronic conditions; the physician must establish a comprehensive care plan for the...
By Brian Dolan February 28, 2014
Mark Bertolini, CEO, Aetna | Photo Credit: HIMSS 2014 Event Staff By Jonah Comstock There may not have been a lot of news from payers (or health insurance companies) at HIMSS 2014 in Orlando, Florida, but their presence was definitely felt. Aetna CEO Mark Bertolini's keynote address laid out the stakes well: healthcare costs are rising markedly, and it's everyone's job to try to keep them down...
By Brian Dolan September 3, 2013
Baltimore, Maryland-based mobile health company WellDoc announced a new board of directors this week to help the company further commercialize its recently launched BlueStar product. The new board members include two just retired PricewaterhouseCoopers executives and a Washington insider. Up until now WellDoc's board has largely consisted of the company's own management team, but the new board...
By Neil Versel July 25, 2013
Health insurer Humana is turning to telehealth systems provider AMC Health in an effort to keep patients with congestive heart failure out of hospitals, saving money for the payer and improving the quality of life for a high-risk population. In a pilot launched last month, 450 Humana Medicare Advantage members in Ohio with CHF are receiving A&D Medical Products weight scales and blood-...
By Brian Dolan June 13, 2013
Last August -- almost a year ago now -- The New York Times reported that two insurers had agreed to pay $100 a month in reimbursement for use of WellDoc's mobile-enabled diabetes management program. The report, which sourced WellDoc's president Anand Iyer as its source, expected the payers to begin supporting the "mobile integrated therapy" in early 2013. This morning WellDoc launched a new...
By Jonah Comstock January 24, 2013
One thread MobiHealthNews has been following since 2010 is the changing role of the payer in digital health. The buzz at the mHealth Summit suggested that 2013 could be a big year for payers taking on more proactive, preventative measures to reduce their own costs and improve the health of their clients. Health insurer and self-styled "global health services company" Cigna has announced a...
By MHN Staff May 24, 2012
Photo Credit: Paul Savage Photography By Padma Nagappan David Sayen, regional administrator for the western states with the Centers for Medicare and Medicaid Services, recalled meeting Rob McCray, president and CEO of WLSA back in 2006 when the iPhone was not even out yet: "Rob talked about wireless technology and I wondered 'what's this guy talking about?'" Sayen recalled during his keynote...
By Brian Dolan July 8, 2010
“You are not going to get paid for cool ideas. You are not going to get paid for saving lives. You are not going to get paid for anything unless you can prove that you can save them money.” If that sounds familiar, it may be because I started an editorial with those same words almost a year ago today. Or maybe you heard CardioNet founder (now Patient Safe Solutions CEO) James Sweeney speak at the...
By Brian Dolan July 7, 2010
More bad news on the reimbursement front for CardioNet and other mobile cardiac outpatient telemetry service providers: United Healthcare told the company that it is maintaining its position that “outpatient cardiovascular telemetry is unproven for managing cardiac arrhythmias" and as a result it will not cover the service for its members. CardioNet, of course, disagrees and promised to continue...