News
The Department of Health and Human Services (HHS) took the first steps to implement an Affordable Care Act provision that cuts red tape in the healthcare system and saves an estimated $12 billion over the next ten years.
New models for reimbursing physicians that put a greater financial risk on the medical practice is the No. 1 challenge in a list of five concerns that weigh most heavily on practice administrators, according to new research from the Medical Group Management Association.
A U.S. appeals court in Cincinnati upheld the individual mandate of the Patient Protection and Affordable Care Act on Wednesday. The ruling was the first to address the constitutionality of the healthcare reform act's requirement that everyone purchase health insurance or be penalized.
Leaders of healthcare systems, hospitals and healthcare payers are on the fence when it comes to their participation in the Centers for Medicare and Medicaid Services' shared savings program (MSSP) - the Medicare ACO program - according to a recent poll led by KPMG LLC.
Payers are on track for the implementation of ICD-10 and do not anticipate problems with processing payments -- at least according to Ian Bonnet, vice president leading the ICD-10 rollout at health insurer Wellpoint.
The Centers for Medicare & Medicaid Services (CMS) has selected defense contractor Northrop Grumman to develop and implement a fraud prevention system to help identify high-risk claims in support of the National Fraud Prevention Program.
Payers are on track for the implementation of ICD-10 and do not anticipate problems with processing payments – at least according to Ian Bonnet, vice president leading the ICD-10 rollout at health insurer Wellpoint.
The Robert Wood Johnson Foundation (RWJF) has launched a new online consumer directory of physicians and hospitals.
Highmark and the West Penn Allegheny Health System have reached a provisional agreement that would see the health plan acquire the struggling hospital operator for $475 million.
Automating the credit refund process increases efficiency, reduces errors and improves patient satisfaction, according to Suzanne Tschetter, director of patient financial services for the Cleveland Clinic Health System.