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Sita Kapoor, CIO at HealthEC, outlines the four elements that make up the next stage in the evolution of pop health.
Copay-only plans, without a deductible or coinsurance, represented about 10% of employer plans in 2023 but now make up an estimated one-third of employer coverage, says Charlotte West, vice president of Surest.
In Ohio, more than half of Medicaid patients are expected to be dropped from coverage, says Casey Williams, SVP of Patient Engagement at RevSpring, who lives in that state.
Clinical data could help health plans make more precise coverage decisions while reducing friction for patients and providers, says Dr. Donald Rucker, chief strategy officer at 1UpHealth.