MedCity News

NOVEMBER 9, 2022

More than 31% of people with employer-sponsored insurance stuck with a job they disliked for the company’s health insurance, a Forbes Advisor survey found. Another 8% of respondents left a job they liked to seek better coverage.

Insurance 136

Insurance 136

Referral MD

MARCH 5, 2024

What is role of technology in healthcare insurance today? However, the insurance industry, the backbone of our society, needs to adapt to rapid technological advancements. Denied health insurance claims amount to over $262 billion annually. The average error rate in the health insurance industry is nearly 20%.

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Insurance Healthcare Healthcare Training 59

MedCity News

MARCH 31, 2024

Insurers should immediately end their overreach into medical decision-making and work with medical providers and their patients to ensure timely care for all.

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Insurance Patients Medical 113

MedCity News

DECEMBER 4, 2023

Rising out-of-pocket costs and barriers preventing or delaying the utilization of healthcare coverage highlight the need for a comprehensive approach that goes beyond insurance coverage alone and addresses the underlying issues affecting healthcare accessibility and affordability.

Insurance 109

Insurance Healthcare Healthcare 109

MedCity News

NOVEMBER 13, 2023

Just 37% of employees trust their insurer to suggest high-quality care regardless of cost, while 53% trust their employer with their health, according to a survey released by Included Health.

Insurance 120

Insurance 120

MedCity News

JULY 5, 2023

Insurtechs like Bright Health Group, Clover Health and Oscar Health set out to disrupt health insurance — but have they actually done so? Not in a positive way, several experts say.

Insurance 110

Insurance 110

MedCity News

MARCH 19, 2024

Do you advise self-insured employers? The 2023 Benefit Consultant Sentiment INDEX offered robust insights and cast a spotlight on the evolving roles of employers as they navigate the changing healthcare landscape. Your insights offer leading, innovative points of view that can guide employers and peers.

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Insurance Consulting Healthcare Healthcare 86

MedCity News

DECEMBER 14, 2023

Sales performance management (SPM) solutions, also known as distribution management systems, continue to be a competitive differentiator and vital to insurers’ top and bottom lines.

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Insurance Competition Management Sales 106

MedCity News

NOVEMBER 5, 2023

Despite most insurer execs saying that digital transformation is a top priority, only 8% believe the majority of their staff embrace digital transformation, according to data from West Monroe.

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Insurance 116

MedCity News

NOVEMBER 20, 2023

That’s why Health Net created a request for information process to help the insurer determine which startups are the best fit for its Medicaid population, according to Dr. Pooja Mittal, vice president and chief health equity officer at Health Net. Many digital health startups aren’t built with Medicaid members in mind.

Insurance 115

Insurance 115

Scott Burrows

AUGUST 16, 2022

The Human in the Loop is You When speaking to audiences in my role as an insurance and financial services motivational speaker, I am careful to differentiate the impact of technology from the critical role of the representative. In a recent McKinsey Report on the top technology trends in insurance technology, there is…

Insurance 98

Insurance Sales 98

MedCity News

MARCH 2, 2023

Despite ketamine-assisted therapy being approved for treating several mental health conditions, it’s generally not covered by insurance or employers. Though that likely won’t always be the case, as psychedelics gather more research and employers notice the benefits for their workplaces.

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Insurance Biopharma 128

MedCity News

AUGUST 30, 2023

While the recent rollbacks of authorization requirements by insurers are a positive step forward, there is still work to be done in streamlining processes and reducing administrative burdens in the healthcare industry.

Insurance 110

Insurance Healthcare Healthcare 110

Scott Burrows

JULY 5, 2022

As an insurance and financial speaker with strong ties to the industry, I have not seen such interesting—and positive—developments in years. Are You Prepared to Reinvent Yourself? For example, according to Statista the sales of electric vehicles are on the verge of explosion.

Insurance 98

Insurance Sales 98

MedCity News

MARCH 16, 2023

Physicians face a lot of barriers from insurers in completing studies on drugs in the accelerated approval pathway, declared Dr. Robert Califf, commissioner of food and drugs at the Food and Drug Administration. Insurers need to help, he said during the AHIP Medicare, Medicaid, Duals and Commercial Markets Forum.

Insurance 103

Insurance Food and Drug Administration Food Physicians 103

World of DTC Marketing

OCTOBER 15, 2020

HEY NOW : Most companies struggled in the second quarter as the coronavirus pandemic froze the economy, but health insurers like UnitedHealth heavily benefited as people held off on going to the doctor or hospital, resulting in fewer medical claims that needed to be paid. In addition, pharma profit margins remain very high.

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Insurance Pharma Doctors Medical 119

MedCity News

MAY 21, 2023

Individual market insurers are estimated to owe about $500 million in rebates to enrollees this year, a Kaiser Family Foundation analysis found. Small group market insurers are anticipated to owe about $330 million, and large group market insurers are expected to owe about $250 million.

Insurance 99

Insurance Marketing Medical 99

MedCity News

NOVEMBER 4, 2022

The American Hospital Association specifically called out commercial insurers for their practices on prior authorization and claims denials and delays. Less than 1% of hospitals and health systems said their relationship is improving and the rest said it has stayed the same.

Insurance 122

Insurance 122

MedCity News

MAY 29, 2023

About 68% of Americans believe employer-sponsored insurance is important for employee recruitment and 77% believe it’s important for retention, according to a new AHIP survey.

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Insurance Recruitment 103

Scott Burrows

APRIL 11, 2023

Flipping the Script on Public Distrust At the outset of this year, leadership in the insurance industry outlined the top challenges facing insurance sales reps in 2023. Insurance pricing models are constantly trying to catch up to these experiences to help forecast the future as social inflation becomes the new normal.”

Insurance 52

Insurance Sales Healthcare Healthcare 52

Pharmacy Times

DECEMBER 21, 2023

Overtime, children can outgrow food allergies, like milk and eggs—however, children with private insurance are more likely to outgrow allergies than those with public insurance.

Insurance 58

Insurance Food 58

MedCity News

OCTOBER 20, 2023

FOLX Health is now in-network with insurers, including Blue Shield of California. The company serves the LGBTQIA+ community and offers virtual primary care, one-on-one therapy, mental health medication management, hormone replacement therapy, pre-exposure prophylaxis and care navigation.

Insurance 101

Insurance Networking Management Medical 101

Scott Burrows

APRIL 11, 2023

Flipping the Script on Public Distrust At the outset of this year, leadership in the insurance industry outlined the top challenges facing insurance sales reps in 2023. And as a motivational insurance speaker and former financial advisor, I know it is crucial to flip the script when it comes to communicating with your…

Insurance 52

Insurance Sales 52

MedCity News

OCTOBER 4, 2022

Of people who were found inadequately insured, 9% were uninsured, 11% had a period without coverage over the past year and 23% had coverage all year but were underinsured, the Commonwealth Fund report showed.

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Insurance Medical 102

MedCity News

OCTOBER 16, 2022

Most of the insurers, or 75%, blamed the overuse of care for the rise in medical costs. The 10% increase is the largest in almost 15 years, the Willis Towers Watson survey found.

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Insurance Healthcare Healthcare Medical 123

MedCity News

AUGUST 22, 2022

Notably, in the list, the so-called disruptors of the insurance industry are the ones whose CEOs appear to be winning financially even though their stock performance has left much to be desired.

Insurance 100

Insurance 100

MedCity News

AUGUST 9, 2022

Commercial insurers’ practices, such as prior authorization and white bagging, are needed to reduce costs for patients, said Kristine Grow, senior vice president of communications at AHIP.

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Insurance Patients Pharma 122

Scott Burrows

OCTOBER 4, 2022

The Biggest Change is Mindset As an insurance sales speaker who started his career in insurance and financial services, the progression of the industry continues to hold my interest and concern. Bureau of Labor Statistics over the next decade, insurance sales positions should maintain a healthy growth of +6…

Insurance 52

Insurance Sales 52

Scott Burrows

NOVEMBER 14, 2022

You already have your next lead, but don’t know it As an insurance sales motivational speaker who started his career in the insurance and financial services industry, I know well that one of the most important issues is in finding new leads. Insurance sales requires constant prospecting and lead generation.

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Insurance Sales Prospecting Leads 52

MedCity News

JULY 29, 2022

Even with employer-sponsored insurance, many still have issues with chronic conditions, maternal health, behavioral health, substance use and healthcare access. When comparing by race, disparities become more apparent.

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Insurance Healthcare Healthcare 116

MedCity News

FEBRUARY 28, 2023

Over the next 18 to 24 months, Humana will exit the Employer Group Commercial Medical Products business, which includes fully insured plans, self-funded plans and Federal Employee Health Benefit plans. The decision represents Humana’s move to double-down on its Medicare Advantage business, one expert said.

Insurance 93

Insurance Marketing Medical 93

Scott Burrows

MARCH 7, 2023

It Always Comes Down to Trust As a motivational insurance and financial sales speaker, it is around this time of the year that I look forward to reading “everyone’s top 5 list” of challenges for the insurance and financial sales industry. Sometimes it is 7 challenges and even 10. Frankly, I chuckle at…

Insurance 52

Insurance Sales 52

MedCity News

JUNE 20, 2023

There are a lot of administrative hurdles behavioral health providers have to go through to join an insurer’s network. That’s why the industry needs something similar to the “Common App” for applying to be in-network with insurers, said Cara McNulty, president of behavioral health and mental wellbeing at CVS Health.

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Insurance Networking 89

MedCity News

JUNE 19, 2023

Health insurers can support the fight for reproductive health rights by improving their benefits and using their power to enact change with lawmakers, said Alexis McGill Johnson, president and CEO of Planned Parenthood Federation of America and the Planned Parenthood Action Fund.

Insurance 89

Insurance 89

MedCity News

DECEMBER 20, 2022

Quality, affordability and convenience are the key reasons for why Americans favor employer-sponsored insurance. Nearly 90% of Americans prefer to receive their health coverage through an employer versus other means, according to a new survey.

Insurance 104

Insurance 104

MedCity News

AUGUST 7, 2023

However, just 16% of adults are still interested in taking weight-loss drugs if they’re not covered by insurance. About half of adults, or 45%, said they are at least somewhat interested in taking a “safe, effective weight-loss drug,” according to a new survey by KFF.

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Insurance Prescription 92

MedCity News

FEBRUARY 28, 2023

In 2021, Medicare Advantage gross margins averaged $1,730, more than double other insurance markets, the Kaiser Family Foundation report found. The individual market’s gross margins averaged $745 per enrollee, group market’s gross margins averaged $689 per enrollee and Medicaid managed care’s gross margins averaged $768 per enrollee.

Insurance 92

Insurance Marketing Management Medical 92