Susan Morse
For 2019, CMS will blend 25 percent of encounter data into risk scores for MA payment.
Some ACOs say integrated systems and EHRs are necessary, while others put emphasis on physician participation.
HIMSS Revenue Cycle Improvement Task Force seeks stories on the patient financial experience to present a gap analysis for the next innovation.
Deal adds 40,000 members to Anthem's 650,000 consumers in Florida Medicare and Medicaid network.
Health insurers benefit from lower corporate taxes but repealing the individual mandate will spike uncompensated care costs and stick hospitals with tighter operating margins, less cash flow.
The Republican Senator voted for tax reform on assurances that legislation to stabilize individual market would be included in end-of-year spending bill.
Insurer follows move by Aetna and CVS to elbow into provider space, better manage population health and lower costs with its Kindred acquisition.
Tax reform bill eliminates Affordable Care Act mandate; opponents fear cuts to Medicaid, Medicare.
Deal signals another move by an insurer to enter the healthcare business.
All but $500,000 of fine suspended if Coordinated Care Corp. ensures members have access to in-network providers.