Search Results for anthem cigna

Breached healthcare records down 72% but incident numbers steady. Then there’s MyFitnessPal’s 150 million…

click to enlargeHackermania in healthcare may be running less wild…but what about consumer health devices? Year-end and top-of-year analyses indicate that the flood of breached records may be starting to drain. A Bitglass analysis of 2017 US Department of Health and Human Services (HHS) data from its infamous ‘Wall of Shame’ is encouraging. They found that the number of breached records decreased over the 2015-2017 period by 72 percent between 2015 and 2017 and by 95 percent from 2016. The calculation excludes the huge spike in breaches due to two 2015 incidents at Anthem and Premera Blue Cross [TTA 9... Continue Reading

Is the Amazon Effect good or bad for consumers–and health tech?

Your busy Editor, who has been on business assignment this past month, has noticed the relative quiet around the subject of How Amazon is Rattling Healthcare. We’ve already noted here the retail and pharmacy/pharmacy benefit effects with CVS-Aetna, Albertsons-Rite Aid, and Cigna-Express Scripts. Aside from the bottom line, and Cigna finally closing a gap with other insurers with pharmacy benefit management services (PBM), is it good for the healthcare consumer as promised? Max Nisen’s article in Bloomberg Gadfly (sic) says ‘not so fast’. His argument is as follows: Companies are largely following the lead of UnitedHealth and its Optum units,... Continue Reading

Lyft and Uber’s big tech twists on a Social Determinant of Health–medical-related transportation

...in 45,000 physician practices and 2,500 hospitals (which doesn’t include newly-acquired Practice Fusion’s 30,000 small ambulatory sites). Besides its own driver base, Lyft also has used its Concierge API to facilitate partnerships with NEMT brokers working with providers such as Circulation, National MedTrans (the NEMT provider for Anthem’s CareMore Health Plan HMO), and American Medical Response for drivers and more specialized vehicles. Hitch Health works with Lyft and independently integrates into Epic and Athenahealth. MedCityNews, POLITICO Morning eHealth (scroll down). But does providing transport for appointments save money? The logic behind it is that missed appointments can exacerbate existing conditions;... Continue Reading

Scary Monsters, Take 2: Amazon, Berkshire Hathaway, JPMorgan Chase’s addressing employee healthcare

...good news for those of us engaged in 1) healthcare tech and 2) innovative care models. But what exactly is meant by ‘technology’? And will they become an insurer? What most of the glowing initial comments overlooked was the Absolute Torture of Regulation around American healthcare. If this combine chooses to operate as an insurer or as a PBM, for starters there are 50 states to get through. Each state has a department of insurance–in California’s case, two. Recall the Aetna-Humana and Cigna-Anthem mergers had to go through the gauntlet of approval by each state and didn’t succeed. PBM regulation... Continue Reading

Analysis of the CVS-Aetna merger: a new era, a canary in a mine–or both?

...CVS clinics. But this alliance of hospitals with retail clinics, including Walgreens Boots, may be too little, too late for hospitals. How CVS’ chief competitor, Walgreens Boots, is reacting is–not much, according to this report in Crain’s Chicago Business. It will continue on a path of partnering with other PBMs and insurers, as well as boost its front of store operations in areas like food and cosmetics. But then, there’s always Anthem or Cigna–or fitting into giant UnitedHealth Group, which already has urgent care clinics, practices, surgery centers under OptumCare, and lacks retail outlets. Stay tuned. CVS-Aetna joint release, MedCityNews... Continue Reading

CVS’ bid for Aetna–will it happen, and kick off a trend? (updated)

...relationships with many hospital providers (see list here)–this Editor is the first to note this CVS relationship with providers. We will be in for more regulatory drama, of course–and plenty of competitor reaction. Can we look forward to others such as: Walgreens Boots with Anthem or Cigna (currently at each others’ throats in Delaware court) Other specialized, Medicare Advantage/Medicare/Medicaid networks such as Humana or WellCare? Will supermarkets, also big retail pharmacy providers, get into the act? Publix, Wegmans, Shop Rite or Ahold (Stop & Shop, Giant) buying regionals or specialty insurers like the above, a Blue or two, Oscar, Clover,... Continue Reading

It’s all hackable by Black Hats: pacemakers, Amazon Echo, trains, heart monitors, prison cells!

...with and malware uploaded to be turned into listening devices, according to MWR InfoSecurity. And Anthem gets no respect. After suffering its 2015 data breach of 80 million members–and spending $115 million to settle the lawsuit–there’s a third-party contractor, LaunchPoint Ventures, who decided that no one would notice if 18,500 patient records were sent to a home email a year ago. Actually, it was noticed after the contractor was nabbed for unrelated “identity theft-related activities” this past April. More ‘splainin’ to do to HHS, surely, after filing their July 24 report. At least it’s not an IoT breach! Healthcare Dive... Continue Reading

Shouldn’t we be concentrating on digital therapeutics rather than ‘health apps’?

...data and behavior change, focusing on a specific but important (again) condition, coach to change behavior and verify results rigorously through clinical trials. Some, like Omada Health, prove through those clinical trials that their program successfully changes pre-diabetic indicators, such as weight loss, decrease cholesterol and improved glucose control–without medication. This results in big savings for insurance companies, one reason why a $50 million Series C was led by Cigna. Another model is to work with pharmaceutical companies to better guide treatment. Propeller Health with its asthma/COPD inhaler tracker is partnering with pharma GlaxoSmithKline on a digital platform to better... Continue Reading

The End or Beginning? Anthem ends Cigna merger, won’t pay breakup fee, seeks damages (updated)

click to enlarge Updated. Anthem on Friday 12 May beat Delaware Chancery Court’s Judge Travis Laster’s ticking clock [TTA 11 May], and finally, formally called off its merger with Cigna. Instead of sighs of relief and seeking oblivion in a few bottles of adult beverages, Anthem still won’t stop and let Cigna go. Anthem now refuses to pay the breakup fee per their agreement, claiming once again that Cigna sabotaged the merger, and wants blood from that rock. From the Anthem announcement: In light of yesterday’s decision and Cigna’s refusal to support the merger, however, Anthem has delivered to Cigna... Continue Reading