Reimbursement

Three things can liberate patient data: The industry must put patients at the center, use standards like HL7 FHIR and get the entire ecosystem working together, say Kari Hedges, SVP at Blue Cross Blue Shield Association, and Laurent Rotival, SVP at Cambia Health Solutions.

America's Health Insurance Plans called on Congress to set a fixed reimbursement rate based on what insurers pay in a region.

As transformative as the technology can be, providers need to be cautious not to lose the human element in their care delivery.

Value-based programs are in Humana's Medicare Advantage business, where insurer had a 17 percent market share last year.

Until November, reimbursement for remote patient monitoring services was a gray area for providers, but the picture is becoming clear.

The new model could reduce the burden for at least half of all safety net hospitals as they care for patients regardless of insurance status or ability to pay.

Pairs who received betamethasone had average costs of $4,681, versus the $5,379 spent on the pairs who didn't get the treatment.

Readmissions dipped at a participating facility after implementing a new medication education program.

Rankings show 5-and 1-star providers about equally divided as majority fall in the 2-to-4 star categories.

The legislation, introduced in 2017, is grabbing attention as Democrats make Medicare for All a 2020 election issue, while other public options are being floated at the state level.