Jul 10, 2013

Top 10 Medical Insurance Providers in America

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3 min
Top Medical Insurance Providers In The US
Written by Pooja Thakkar   Read this a...

Written by Pooja Thakkar

 

Read this article in the July Edition of Healthcare Global magazine

1. Humana Health Insurance

The Patient Protection and Affordable Care Act, in the US will require states to enable easy access to insurance plans for all their residents through online insurance marketplaces starting in late 2013. But there are already some excellent medical insurance providers offering plans and prices that are just right. At the end of the day, what matters most is a decent health insurance plan that gives you peace of mind.

Humana is one such top insurance provider whose approach to individual and affordable health insurance has been serving customers well for over 50 years. Headquartered in Louisville, Kentucky, Humana has a large network that includes 544,000 physicians and 4,000 hospitals. The Company’s well-organized web site or app via mobile phone makes it easy to find providers that charge cheaper, in-network rates. Humana also completed more than 21 acquisitions from 1994 to 2012. 

2. United HealthCare Insurance

United HealthCareis a part of UnitedHealth Group, the largest single health carrier in the United States. With annual revenues of over $90 billion, the company provides products and services to over 70 million Americans.The huge varieties of plans offered make this company a one-stop resource for all medical insurance needs.

3. Aetna Health Insurance

This insurer with a good reputation overall provides benefits in 50 states and has almost 18 million medical members. Founded in 1853 in Hartford, Connecticut, Aetna is considered to be the one of the oldest insurance companies in US and provides healthcare, dental, pharmacy, group life, disability insurance, and employee benefits.

4. Anthem BlueCross BlueShield Health Insurance

A division of WellPoint, Anthem BlueCross BlueShield is a large health insurance provider that operates in 12 states. This company is known for its 360-degree Health program. Customers will find some good options for affordable health insurance with easy ways to add dental, vision, life and other insurance as well.

5. Celtic Health Insurance

Celtic has evolved into a solid source of private medical insurance having presence in 34 states. The Company offers a wide selection of plans in different price ranges that are fit for different stages of life. Lots of Celtic options allow customers to easily add life, vision and disability insurance to their health plan.

6. Assurant Health Insurance

Covering 44 states, Assurant Health offers some good medical insurance plans for individuals and families. There isn’t a better source for short-term insurance. Customers can get plans for as short a time span as 30 days and as long as 180 days. There are also some great bargains for low-cost health insurance.

7. SelectHealth Insurance

An insurance arm of Intermountain Healthcare, a nonprofit healthcare provider, SelectHealth includes a network of 22 hospitals spread across Utah and Idaho. It is a small provider that offers excellent copay-style plans, high-deductible plans and short-term plans. If you are fortunate enough to live in the coverage area, it is a good option.

8. Kaiser Permanente Health Insurance

This well respected company offers a decent selection of individual health insurance plans in 10 states. Although many of its plans are overpriced, Kaiser Permanente offers a decent selection of high quality health insurance. The Company also offers an impressive database that offers more than 40,000 searchable health topics.

9. Cigna Health Insurance

Cigna operates in 30 countries and has more than 70 million customer relationships worldwide. Headquartered in Bloomfield, Connecticut, Cigna’s history stretches back more than 125 years. The Company is divided into 3 divisions Cigna Healthcare, Cigna Group Insurance and Cigna International. The multiple reliable packages of the company offer a complete health insurance. 

10. Coventry Health Care Insurance

Active in 22 states, Coventry has a large assortment of low-cost health insurance offerings. The company invests time and money in bringing providers, employers, and members together to improve products and services they offer.Headquartered in Bethesda, Maryland, USA, the Company has been acknowledged by many of the business awards.

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Dec 10, 2018

Top 10 healthcare innovations for 2019

Telemedicine
medical devices
Top 10
Genetics
Catherine Sturman
6 min
healthcare innovations
We take a look at some of the top 10 healthcare innovations which are transforming the sector

We take a look at some of the top 10 healthcare innovations which are transforming the sector

10. Telehealth

The telehealth market is booming. Consumers are leading increasingly busy lifestyles, with up to 60% favouring digitally-led services. Providing clinical care at a distance, increasing accessibility and eradicating potential delays has given patients greater control, boosting patient satisfaction and overall engagement. Such is its exponential growth, The Centers for Medicare and Medicaid Services in the US has recently released its proposed Physician Fee Schedule and Qualified Payment Programme updates for 2019, where telehealth services has been heavily featured, in order to deliver ‘different access points’ for patients.  

9. Mobile technology

Consumers have become accustomed to accessing their data through the use of various digital tools, where the use of mobile and tablet health apps has tripled from 13% in 2014 to 48% today. Catering to this growing market, British based start-up Babylon Health is making waves on a global scale. Partnering with the National Health Service (NHS) and private health provider, Bupa, it has also cemented its presence across the flourishing Chinese market, with a membership base exceeding 1.4mn citizens across Europe, Asia and Africa. By partnering with global juggernaut Tencent, Babylon’s artificial intelligence system has enabled both parties to interact directly with users, identify specific illnesses, deliver health status assessments, and triage necessary actions. The mobile app is available to over a billion users and linked to more than 38,000 medical facilities in China alone.

8. Artificial intelligence 

Artificial intelligence (AI) applications, such as predictive analytics for patient monitoring has provided significant financial savings. Applications that target hospitals and medical institutions include patient monitoring and transcribing notes for electronic health records (EHRs). The European Union is set to invest $24bn into artificial intelligence (AI) by 2020 in a bid to catch up with Asia and the US, who have invested heavily in AI and cloud services. This year, Google revealed its plans to harness AI and machine learning across a multitude of consumer technologies, particularly in healthcare. “If AI can shape healthcare, it has to work through the regulations of healthcare. In fact, I see that as one of the biggest areas where the benefits will play out for the next 10-20 years,” Google CEO Sundar Pichai has previously stated.

7. Blockchain

Blockchain is estimated to reach over $5.61bn by the end of 2025, even though it remains dependent on the ability to record and store information conveniently, economically and securely amongst different applications and systems. Providing transparency and eliminating third-party intermediaries, processes are streamlined, reducing healthcare costs exponentially. Unlocking the ability for providers to deliver a value-based healthcare system and enhance patient engagement, blockchain could save the industry up to $100-$150bn per year by 2025 in data breach-related costs, IT costs, operations costs, support function costs and personnel costs, according to BIS Research. Partnering with pharmaceutical giant GlaxoSmithKline (GSK), Ethereum blockchain-based supply chain platform, Viant sought to accelerate the pace of blockchain-based supply chain systems. Accenture and supply chain giant DHL have also developed a blockchain-based serialisation prototype which tracks pharmaceuticals from the point of origin to the consumer.

6. Health wearables

With the rise of lifestyle diseases, such as diabetes, more consumers are turning to health wearables that monitor glucose, heart rate, physical activity and sleep to gain a greater understanding of their health conditions. Following on from the release of the first Bluetooth headset back in 2000, the growing interest in wearables has seen monitoring our health and data become standardised. This data can be analysed by sophisticated algorithms to drive long-term diagnosis and support. Partnering with Google, health wearables company Fitbit is exploring the development of consumer and enterprise health solutions. Its acquisition of HIPAA-compliant health platform, Twine Health has seen the business enhance its clinical services by bringing on board a coaching platform, empowering people to seek better health outcomes.

See also

5. Electronic health records tools

From 2018-2022, the electronic health records (EHR) market is expected to grow at a compound average rate of 6% per year Providers and organisations continue to house fragmented technologies which create barriers towards collaboration and data sharing opportunities. This is further exacerbated if a patient straddles both public and private healthcare. Technology giant Apple has integrated patients’ medical records into its Health App as part of its iOS 11.3 beta. The data is encrypted and protected with the user’s iPhone passcode. Partnering with hospital providers and clinics, patients are now able to view their medical records from multiple providers within one platform. Johns Hopkins Medicine, Cedars-Sinai, Penn Medicine, UC San Diego Health and even the Cleveland Clinic have implemented this technology.

4. Healthcare transportation 

Non-emergency health transportation remains a key issue worldwide, preventing patients from getting to or from a doctor’s appointment. 25% of lower-income patients have missed or rescheduled appointments due to lack of transportation, costing US health systems up to $150bn each year. Transportation companies such as Lyft and Uber have therefore entered the market by partnering with state governments to reduce these costs and deliver personalised patient care.

3. 3D Printing 

Healthcare providers are set to represent the second largest industry sector in 3D manufacturing. The Food & Drug Administration’s decision to release its first comprehensive framework advising manufacturers of 3D medical products highlights its growing impact where more than 100,000 knee replacement surgeries are completed each year using 3D-printed, patient-matched surgical guides, for example. Through this process, surfaces and structures can be optimised for strength, weight and material use. Consultation between surgeons and patients has also been bolstered, where patients can better understand the complexity of his or her specific needs.

2. Genomics

As consumers get more involved in the management of their health, consumer genetics and research companies have grown in popularity and scale. People want to further understand their genetic makeup, leading personal genomics and biotech company 23andMe to become one of the largest consumer-based organisations worldwide. Interestingly, this year, the company has entered a four-year collaboration with GSK to develop new treatments, but using human genetics as the basis for discovery.

Not only looking to develop treatments by analysing human genetics, pharmaceutical companies are looking to even remove hereditary genes which pass diseases down generations. In 2017, human embryos were successfully ‘edited’ through gene editing tool, CRISPR (Clustered, Regularly Interspaced, Short Palindromic Repeats), eradicating hypertrophic cardiomyopathy within 42 embryos.

1. Vertical integrations

As healthcare providers aim to provide greater transparency, promote collaboration and lower escalating patient costs, 2018 has been the year for a significant number of vertical integrations. CVS Health’s $68mn takeover of health insurer Aetna is a case in point. By influencing more of the supply chain, it will gain significant negotiating power to reduce costs for payers and patients, develop personalised solutions and improve overall outcomes. It will also promote the eradication of delays in process by removing any third parties within traditional business models. Other notable integrations are Optum’s acquisition of the DaVita Medical GroupHumana and Kindred Healthcare and Cigna and Express Scripts.

Reports have indicated that not only has the number of healthcare deals more than doubled in the last five years, the size of deals has also grown as a result of repeat investor interest, highlighting that this trend is here to stay.

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