Providers, health plans, and pharmacies are uniting into single entities while evidence shows that investing upstream with primary care improves quality and reduces healthcare costs. In a battle against ever increasing premiums, employers are looking at ways to spend less on healthcare, with more and more moving to self-funded plans, educating their employees about how their choices impact everyone’s cost, and redesigning their pharmacy benefit plans for up to 50 percent savings. These are just a few of the insights shared during the D CEO 2019 Healthcare Roundtable, a sponsored discussion from the July issue with North Texas Healthcare leaders.… Full Story
Catalyst Health Network and UnitedHealthcare’s accountable care organization knocked $28 million off of North Texas healthcare costs over the last two years for UnitedHealthcare’s 78,000 plan participants. The ACO was established in 2015 with a goal of changing the way providers are reimbursed. The organization is moving away from the traditional fee-for-service model and into a system where providers are paid based on results and patient satisfaction. The savings have come from catching disease early through screenings, keeping referrals in-network, reducing emergency room visits, and more. In the last year, the ACO saw ER visits decrease by 4 percent, in-network… Full Story
United Healthcare North Texas has a new vice president of network management, who came over after serving in various high-up roles at Blue Cross Blue Shield of Texas. JJ White is the new hire. She did her undergrad at the University of North Texas. At BCBSTX, White was most recently a divisional vice president for network innovation & strategy, and she served as chief of staff prior to that. She’d been with Blue Cross in one capacity or another since the mid-1990s. White started at UnitedHealthcare in April.