Reimbursement
As patients face high deductibles, price is a major topic that's put pressure on healthcare providers to offer price transparency, even though what a hospital charges can be far different from what a patient actually owes after their insurance covers some of the costs.
State insurance exchanges are healthy financially even without the federal funding that ran out this year, a top Obama administration official told a House subcommittee Tuesday. But that official refused to predict if any of the remaining 13 state exchanges would eventually need to shift to the federal exchange.
In total, 2.84 million consumers have made plan selections since open enrollment began November 1, according to CMS.
Two months after the implementation of ICD-10, revenue cycle experts say their world didn't collapse but not enough time has elapsed to declare the smooth rollout a victory.
A new study by the Transamerica Center for Health Studies claims companies are more likely to have added or increased contributions to their employees' healthcare premiums in 2016 compared to the last two years.
Triple-S Management Corporation has agreed to settle potential HIPAA violations with the U.S. Department of Health and Human services to the tune of $3.5 million, after repeatedly failing to put safeguards in place for its beneficiaries' PHI.
The boundary between being a provider and a payer is blurring as hospitals face more risk, according to Joe Nichols of Health Data Consulting, prompting health systems to make changes to keep from losing too much money.
The U.S. Senate on Thursday approved a bill repealing the bulk of the Affordable Care Act in a vote of 52 to 47 that largely went along party lines.
CMS said by the end of next year, 85 percent of all traditional Medicare payments to quality or value and 30 percent of traditional Medicare payments should be tied to alternative payment models.
The case hinges on Vermont legislation requiring all administrators of self-insured benefit plans to regularly submit data on medical claims, pharmacy claims, member eligibility, provider and other information for use in the state's unified healthcare database.