AHIP

The future of health care is digital and inclusive. Highmark Inc. is setting new standards in mental health and substance use disorder treatment. We sat down with Highmark’s Dr. Melissa Perry and Demetrios Marousis to learn how the health plan is breaking barriers and using technology to improve mental health and substance use disorder treatment. Head over to our YT to see how technology and compassion are at the heart of their mission. https://bit.ly/4d8BeXC

70% of billing disputes submitted to arbitration in 2023 came from four private equity-backed organizations. Private equity’s short-term business model presents ongoing challenges to health care affordability.

Part of the value of conferences is the opportunity to connect one-on-one with other health care professionals across the country. To foster these impactful discussions, we're adding a new Peer Connect series to the #AHIPDigital lineup. These small-group, peer-to-peer discussions provide an opportunity to engage in insightful conversations with other C-suite and VP-level peers and professionals. They are designed to promote dialogue and collaboration in advancing innovation, improving consumer experience, and supporting a more person-focused and economically sustainable health care system. Check out the session topics and register today.

A new study shows that some of the same PE-backed outfits that created the surprise billing crisis are now overwhelming the arbitration system to extract payments far above what they could ever negotiate in the market. Congress intended for surprise billing reform to help patients – not private equity. https://lnkd.in/ess92aJy

More than 33 million seniors and people with disabilities choose Medicare Advantage because it gives them better health care at far lower costs. For these beneficiaries, MA isn’t a political issue – it’s a kitchen table issue.

We love this quote from L.A. Care Health Plan CEO John Baackes. “Health care is more than just a plastic card in your wallet.” L.A. Care Health Plan announced that it will provide a total of $425,000 to three organizations to support the health care safety net, improve health disparities, and address systemic racism, including the California Black Freedom Fund, STEM to the Future, and California Community Foundation.

More than 33 million Americans choose Medicare Advantage because it provides better health care at lower costs. Learn how we're working to protect and strengthen MA for the beneficiaries who depend on it.

Site-neutral reforms would help protect patients from excessive, hidden, and unjustified hospital fees. The CBO “is throwing cold water" on criticism of these common-sense proposals. Learn more ⬇️

Three health care leaders — Dan Mendelson, CEO of Morgan Health, Sachin Jain, CEO of SCAN and SCAN Health Plan and Andrea Walsh, president and CEO of HealthPartners — offered their suggestions on how to improve the industry in a panel during #AHIP2024.

HRAs are among the many tools MA plans use to support patients, identify chronic conditions early, and prevent these conditions from becoming more serious. Here are some key facts for those seeking to better understand the use of HRAs in MA.