payers

By  Jonah Comstock 03:38 pm February 19, 2019
Clinical data analysis company Covera Health has raised $8.5 million in a Series A funding round led by Equity Group Investments (EGI). Additional undisclosed strategic and individual investors also contributed to the round. This is Covera’s first round of institutional funding. What they do Covera Health uses data analytics to help its payer and employer customers choose the best providers and...
By  Jonah Comstock 10:50 am March 23, 2018
Just about everyone agrees in the basic vision for telemedicine: When a person gets sick, instead of jumping in the car to drive to a doctor’s office or urgent care center, they can pick up a phone or tablet instead, and get in touch right away with a doctor. But when it comes to which doctor should be on the end of that call — and who should be facilitating that connection — healthcare...
By  Jonah Comstock 11:58 am 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 09:08 am 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 05:06 am 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 05:29 am 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 03:24 am 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 05:18 am 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 07:57 am 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 02:57 am 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...