Reimbursement

The State of Michigan on Tuesday denied a request by Henry Ford Health System's health plan to allow it to keep two regions, including Detroit, to its approved contract for the state's Medicaid program.

While some carriers may see the need to instate payment guidelines, the overwhelming majority of physicians surveyed cite administrative issues and a lack of billing services to address the need for reimbursement tools as a major detraction from implementing telehealth into their practices.

Millions of consumers who are enrolled this year could pay higher rates if they stay in the same health plan next year, according to a study released Wednesday by the Kaiser Family Foundation.

The goal is to increase the approximately 59 percent of Humana individual Medicare Advantage members who have primary care physicians participating in value-based relationships, to 75 percent by the end of 2017.

To encourage more people to sign up in Florida, Obamacare assisters are handing out flyers at food truck festivals, farmers' markets and health fairs.

Under the model, hospitals in 67 geographic areas will receive additional payments if quality and spending performance are strong, or if not, have to potentially repay Medicare for a portion of the spending for care for a lower extremity joint replacement procedure.

Aetna plans feature $10 copays for the specialists diabetics need such as endocrinologists, ophthalmologists and podiatrists, and offer free blood sugar test strips, glucose monitors and other diabetic supplies.

The news comes as more health plans move from broad networks and straightforward reimbursement approaches to narrow networks and value-based payments.

The Centers for Medicare and Medicaid Services on Monday announced a $32 million initiative to drive down the number of uninsured children by supporting outreach to get families with children eligible for Medicaid and the Children's Health Insurance Program enrolled.

Under the model, hospitals in 67 geographic areas will receive additional payments if quality and spending performance are strong, or if not, have to potentially repay Medicare for a portion of the spending for care for a lower extremity joint replacement procedure.