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Two key congressional committees have agreed on a framework to scrap the problematic Medicare Sustainable Growth Rate, or SGR, payment formula for physicians and replace it with one that would link physician reimbursement to the quality of care provided.
The Aetna Medicare plan serving Maine and Security Health Plan's Medicaid product in Wisconsin, both highly ranked by the National Committee for Quality Assurance, offer examples of using quality measures to improve care coordination, case management, payment for value, and member satisfaction.
The Democratic and Republican leaders of two key congressional committees have agreed on a framework to scrap the problematic Medicare payment formula for physicians and replace it with one that would link physician reimbursement to the quality of care provided, a step that could put an end to the annual "doc fix" debate.
The criticisms of Healthcare.gov and the leaders responsible for the roll out have been coming fast and furious since the beginning of October. This week, two of those leaders were in the hot seat.
For Halloween, compliance expert Sheridan Johnson shares compliance tales of terror that will send shivers down the spines of CFOs everywhere.
Cigna raised its full-year outlook after a third strong quarter, although the company's executives and investors are worried about sustaining earnings from Medicare Advantage, which saw high quarterly claims costs.
Department of Health and Human Services Secretary Kathleen Sebelius tried to placate members of Congress, promising progress for Healthcare.gov.
The Affordable Care Act's lower-than-projected premiums may dampen healthcare spending significantly more than first estimated, perhaps as much as $190 billion over the next 10 years in savings, according to a recent study from the Center for American Progress.
Overall U.S. healthcare prices remained relatively unchanged from August to September 2013, according to the federal Bureau of Labor Statistics.
With an eye toward spotting opportunities and avoiding calamity, some large healthcare companies are moving toward going live with ICD-10 early.