Reimbursement
The nation's largest insurer may be setting a precedent with restrictions on a risky, though recently popular approach to the most common gynecological surgical procedure.
Clinics allegedly sought reimbursement for injection treatments, physical therapy treatments and other medical items and services not ordered by doctors.
The Next Generation ACO Model will test whether strong financial incentives, coupled with tools to help facilitate better patient engagement and care management, can improve health outcomes and reduce expenditures for Medicare beneficiaries.
In his new book, America's Bitter Pill, Steven Brill dives deep into the history of the Affordable Care Act (ACA) and how it was passed. He concludes that, although providing more Americans with health insurance is worthy of praise, the ACA does far too little to address the costs of health care.
Following the nation's changing demographics at the local level in some major markets, Humana is making a small investment in more convenient service for Hispanic and Latino members.
Clearly healthcare is the most interesting and dynamic sector in the U.S. today. We are witness to an unprecedented transformation as healthcare stakeholders embrace new delivery entities and new reimbursement models, shift attention to building relationships with members and explore new markets. There will be winners and losers in this game, and everyone is placing their bets.
Some state health insurance markets are in for another exodus of pre-health reform plans, as regulators pursue stability on and off the public exchanges.
Unless Congress takes action by the end of this month, doctors who treat Medicare patients will see a 21 percent payment cut.
Vague statement by Joint Committee claims lawmakers are working on a replacement, though no details are released.
Despite a proliferation of digital health companies, payers, providers and patients have many unmet needs. The Pacific Northwest's oldest insurer is trying to help find new ideas, outside the industry.