Claims Processing
Members will be able to tap into digital therapeutics, including one addressing mental health needs during pregnancy.
The public health emergency was extended again, but it won't last forever. One healthcare attorney discusses steps health systems should take to mitigate legal risks of telehealth and virtual care once the regulatory reprieve expires.
Small changes in income can cause people's eligibility to shift between California's ACA and Medicaid programs. When bad information is typed into – or accurate information is deleted from – a shared computer system, enrollees can get big headaches.
The integrated telehealth offering will be available to Aetna plan sponsors and CVS Caremark members in early 2023.
A Kaiser Family Foundation report published in March found just 11 states said they would use texting to alert Medicaid recipients about the end of the COVID-19 public health emergency.
Starting April 5, HHS will no longer adjudicate claims submitted for vaccine administration due to a lack of funds.
The Telehealth Benefit Expansion for Workers Act would amend HIPAA and the Affordable Care Act to allow employers to offer standalone telehealth service programs – not unlike dental and vision plans – in addition to existing health insurance plans.
Providers are not responsible for verifying the security of a patient's third-party app, but are vulnerable when that data is sent.
With specialty drug costs projected to reach $505 billion by 2023 by the company's estimates, Optum has tapped into a potential market opportunity.
The partnership aims to make the retrieval of secure, clinical electronic health records more seamless in an effort to speed up the claims process.