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TUFTS HEALTH PLAN has launched a program to reward members for choosing lower-cost care and services.

Tufts Health Plan to reward members for choosing lower-cost providers

PROVIDENCE – Tufts Health Plan members in Rhode Island and Massachusetts can now earn rewards for choosing more cost-efficient providers for health care and...
THE OFFICE of the Health Insurance Commissioner has released the proposed health insurance rate changes for 2020.

OHIC reveals proposed insurance rate changes for 2020

PROVIDENCE – Health insurers doing business in Rhode Island have submitted their requests for rate increases for 2020, the R.I. Office of the Health...

R.I. health care providers agree to cap spending increases at 3.2%...

Nearly a decade after Rhode Island adopted price controls for health care that appear to be working, the state is doing more to contain...
LISTEN AND LEARN: Participants during the first of two discussion panels at the 2019 PBN Spring Health Care Summit at the Providence Marriott talk about how the state’s health care and insurance systems must listen to and understand the whole person they purport to serve. From left: Marc Backon, president of Tufts Health Plan’s commercial division; Stephen Farrell, UnitedHealthcare of New England CEO; Dr. John Murphy, executive vice president of physician affairs at Lifespan; James E. Purcell, former CEO of Blue Cross & Blue Shield of Rhode Island and founder of the Returns on Wellbeing Institute; Shannon Shallcross, co-founder and CEO of BetaXAnalytics; and Neil D. Steinberg, president and CEO of the Rhode Island Foundation.
 / PBN PHOTO/RUPERT WHITELEY

Panel: Many health, insurance services out of touch with user

To work better, the state’s health care and insurance systems must ramp up one critical skill: listening to and understanding the whole person they...

Tufts Health Plan offers dermatology telehealth service

PROVIDENCE – You can add dermatology to the list of health care specialties accessible as a telehealth service for Tufts Health Plan members.The health plan’s...
FIRST STEP: Rhode Island Business Group on Health Executive Director Al Charbonneau says a federal rule requiring hospitals to post pricing data online is the first of many steps to price transparency. Next to Charbonneau is Hospital Association of Rhode Island President Teresa Paiva Weed.
 / PBN PHOTO/MICHAEL SALERNO

New CMS rule requires hospitals to post pricing data online

The Centers for Medicare & Medicaid Services requires hospitals’ pricing data to be posted to their websites, billed as the first step toward a...
BETTER COVERAGE: R.I. Health Insurance Commissioner Marie L. Ganim speaks at the PBN Health Care Summit at the Crowne Plaza Providence-Warwick in October 2017. Ganim’s office is completing reports on the state’s four largest health insurers to ensure they are following proper standards and regulations in covering the treatment of mental illnesses and drug addiction. 
 / PBN FILE PHOTO/RUPERT WHITELEY

Conduct exams lead to positive changes in insurance coverage for behavioral...

State reports are expected by this spring on the remaining three of Rhode Island’s four largest health insurers to determine how well they have...
HEALTH REFORM: The focus of the second panel of participants at the Health Care Summit at the Crowne Plaza Providence-Warwick on Oct. 30 was health care reform and the insurance market, especially in light of the passing of the Republican tax cut bill in 2017 that removes the penalty for not signing up for health care in 2019. From left: Marc Spooner, executive vice president, commercial and government products, Tufts Health Plan; R.I. Health Insurance Commissioner Marie L. Ganim; HealthSource RI Director Zachary W. Sherman; Neighborhood Health Plan of Rhode Island Chief Growth Officer Dave Burnett; Daniel Moynihan, vice president, contracting, Lifespan; and Coastal Medical CEO Dr. Alan Kurose.
 / PBN PHOTO/PAMELA BHATIA

‘Confusion’ over ACA’s future threatens market stability

A weakened individual mandate for health insurance under the Affordable Care Act taking effect next year remains a potent threat to local health care...

Tufts Health Plan offers members Lifespan cardiac rehab to curb heart...

PROVIDENCE – Cardiovascular diseases and stroke are among the leading causes of death in Southern New England, a statistic Tufts Health Plan is helping...

OHIC approves 2019 health insurance rates, including mostly increases but some...

CRANSTON – The Office of the Health Insurance Commissioner published the approved commercial health insurance rates for 2019 on Friday, saying that the rates...
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