Mega Health Plans By the Numbers

Thu, 07/09/2015 - 16:11

Three new healthsprocket lists examine Mega Health Plan world. Two present the seven largest national plans with respect to revenues and medical membership (with UnitedHealth and Anthem finishing #1 and #2 respectively in both categories):
Mega Health Plans 1st Quarter 2015 Medical Membership in 1,000s (Pre-Merger)
Mega Health Plans 1st Quarter 2015 Revenues (Pre-Merger)

A Becker's Hospital Review list details major points on the Aetna-Humana merger:

What’s next in the land of public health insurance exchanges in this post King vs. Burwell world? Some recent healthsprocket lists attempt to tackle that very question. First, for context, you might want to check out Seven Numbers to Consider After The SCOTUS King v Burwell Decision, which takes us from 6.4 million (people with coverage at stake) down to 3 (SCOTUS dissenters.)

MCOL and Predictive Modeling News have released results from their jointly sponsored stakeholder eighth annual e-poll on Prioritizing Predictive Modeling Activities. A new healthsprocket list has been posted which lists the average priority rank for the surveyed items.
 

 Three new lists posted in healthsprocket this week tackle the Target / CVS strategic partnership:  
Six things to know about the CVS / Target Deal itemizes the major deal point announced by the two companies

How engaged are population health management stakeholders and what do they view as key strategies, advantages and challenges in the population health movement? These questions were the focus of the population health e-Poll, conducted with stakeholders sponsored by MCOL and Population Health News in conjunction with the Population Health Web Summit, with results released this week.

Stakeholders were asked the following questions:

Pioneer Trail Becomes A Track

Fri, 06/05/2015 - 16:57

A new healthsprocket list summarizes key provisions and issues resulting from the just issued MSSP ACO Final Rule: Becker Hospital Review: 11 things to know about the MSSP ACO final rule.

The most significant item finalized with the final rule is the new MSSP Track 3, which is built upon selected components of the CMS Pioneer ACO model.

Here's CMS's summary of the objectives of note for this final rule:

Medicaid Managed Care Proposed Rule

Fri, 05/29/2015 - 16:20

CMS has submitted their 653 page proposed rule regarding Medicaid Managed Care. Certainly the provision garnering the greatest reaction to date is inclusion of an 85% medical loss ratio requirement for Medicaid plans. Some other issues addressed in the rule include increased provider network regulations, adding minimum time and distance standards that currently apply to just primary care or behavioral health, OB-GYNs and dentists, and having states provide greater transparency in rate determination.

Two healthsprocket lists have been posted regarding the proposed rule:

The Myths of ICD-10 Implementation

Fri, 05/15/2015 - 17:16

Clear Vision Information Systems has just released a statement cautioning providers to avoid the common misconceptions attached to this the October ICD-10 changeover. Pam Klugman, their Chief Product Officer, offered advise on Five Common Myths to Avoid About ICD-10, which has been summarized as a healthsprocket list.

#DigitalHealth

Mon, 05/11/2015 - 11:08

As of today, Symplur's Healthcare Hashtag project compiled analytics on 881,965,770 Tweets,, involving 14,090 Healthcare Topics, representing 6,906 Hashtags posted by 2,683 different twitter accounts.

A healthsprocket list has been posted of the Top Ten Trending Twitter Healthcare Hashtags May 2015, which #digitalhealth trended in the top spot.

While most of the top ten hashtags were self-explanatory, the following ones required a clicking through to their subsidiary Symplur page for a description:

 Symplur monitor twitter activtiy for selected healthcare hashtages including #ICD-10.  During the past four days, between around 380 and 400 tweets a day have been launched with that hashtag, Two healthsprocket lists have just been posted using their data: 
Top 10 Twitter Accounts by #ICD-10 Tweets
Top 10 Twitter Accounts by #ICD-10 Mentions