Operations
New failures are piling up among the member-run health insurance co-ops carrying out one of the Affordable Care Act's most idealistic goals, leaving just seven remaining when the health law's fourth enrollment season starts in the fall.
Another Affordable Care Act co-op has gone under due to the federal risk adjustment mandate and four more are expected to disappear by the fall, leaving the number of working co-ops at the start of the new enrollment season at seven.
With Centers for Medicare and Medicaid Services Acting Administrator Andy Slavitt announcing to the Senate Finance Committee Wednesday that the implementation of MACRA may be delayed, physician groups are weighing in, generally agreeing that a delay would benefit smaller practices in particular.
Red Oak claims self-insured or fully insured companies and their coverage plans administered by UnitedHealthcare have conspired to embezzle funds through a process called recoupment.
A new report released today by healthcare nonprofit The Leapfrog Group, and analyzed by Castlight Health, said that only 47 percent of hospitals reporting in the 2015 Leapfrog Hospital Survey have the recommended coverage in place regarding intensivists -- highly specialized physicians who work in intensive care units.
While most policy changes come from the top down, Geisinger Health System's new dress code for nurses came from an unusual source: patients.
McKesson Health Solutions has acquired IT vendor HealthQX to expand its IT portfolio with HealthQX's ClarityQx value-based payment technology.
Even when patients were grouped by characteristics such as age or severity of illness, hospitals differed significantly in inpatient costs, length of stay, and time spent in the intensive care unit.
Humana stock fell by 9 percent last week and a recent report gives the merger a 50/50 chance of happening.
More than half of hospitals are not currently using revenue cycle vendors claims denials management tools, according to a new survey from Healthcare IT News sister company HIMSS Analytics, and that reality presents a large opportunity for providers to get more expedient payment.