Reimbursement
Policy changes tied to Medicaid could have a drastic effect on whether many hospitals have the financial viability to stay in business, the Kaiser Family Foundation said in a new brief published Thursday.
Next year's premiums for health coverage under the Affordable Care Act could rise more than in past years in most markets and declines might be rare, according to a preliminary analysis of insurers' plans.
Doctors responding to the survey are worried they will not have the technology, capital or staffing to survive.
The joint enterprise has been successful beyond anyone's expectations, according to Russ Mohawk, president and CEO of Health Plans and Population Health Services for the Inova Health System.
Disruptive innovation and the consumer experience are two themes that are emerging for this year's America's Health Insurance Plans Institute & Expo opening Wednesday in Las Vegas.
CMS is awarding $10 million over the next three years to organizations that will help clinicians transition to the new quality payment system outlined under MACRA.
Fewer than one-quarter of hospitals in the United States are on track to hit the Obama administration's 2018 goal of providing at least half of their patient care through value-based arrangements -- structures that tie reimbursement from Medicare to the quality of care patients receive.
Despite interventions by Medicare officials, the number of appeals from health care providers and patients challenging denied claims continues to spiral, increasing the backlog of cases and delaying many decisions well beyond the timeframes set by law, according to a government study released Thursday.
The Carolinas Healthcare system on Thursday was slapped with an antitrust suit by the state of North Carolina alleging that the system's Charlotte-Mecklenburg Hospital Authority used its large size to exert market power in dealing with commercial health insurers and to negotiate higher reimbursement rates for treating insured patients.
The Consortium of Independent Physician Associations has formed a new Medicare Shared Savings Program Accountable Care Organization for Michigan and Ohio physicians.