Reimbursement

Don't rule out chaos for next year's ICD-10 deadline, or maybe plan on it, if the latest readiness research is any indication. 

Rethinking how it acquires information technologies seems to be giving one insurer an edge, letting it eke out a "trifecta" of lower costs, fewer unhappy customers, and increased revenue.

In this essay, Bill Pugh, CFO of PinnacleHealth, addresses the challenges and opportunities the Harrisburg, Pa.-based health system experienced moving towards the accountable care model. He offers some "lessons learned" for other health systems embarking on the ACO journey.

Network adequacy concerns are starting to generate renewed interest in new health plan provider mandates.

The parallels between the nation's ICD-10 switch and the popular fantasy epic are real.

Advances in molecular and genomic technology are creating a maze of new options for payers and patients replete with quite a few meaningful improvements as well as some dead ends.

Home health agencies can help hospitals reduce readmissions and control overall healthcare costs, according to a new study, but how effective these agencies are in meeting such goals largely depends on the quality of organizational support given to healthcare field workers.

The ranks of Medicaid are reaching record levels, giving payers and providers, especially, new opportunities.

The backlash against narrow networks continues, as more displeased individual health consumers take their grievances to the courts of law and public opinion.

In bundled payments, where once there was so much promise, there is now conflicting evidence.