Reimbursement
A few observations after 10 weeks of Obamacare implementation. The Obama administration released the first two months enrollment figures this week. With HealthCare.gov still struggling in November, the enrollment of 137,000 people in the 36 states was expected. The main event for the federal exchanges will play out in December now that most people can navigate it.
To keep premiums down on the new insurance marketplaces, payers have created smaller networks of hospitals. But just how small are they?
To keep premium prices down for individuals and small businesses buying coverage through new online marketplaces, insurers have created smaller networks of hospitals. But consumers and policy experts have wondered, just how small? Turns out, many are very small.
Centene is expanding its role servicing high need populations, buying a majority stake in a home care management company.
Amid a less-than-ideal start to health insurance exchanges, the Obama Administration is extending the pre-existing condition insurance plan for one month.
As hospitals continue to get squeezed by new Medicare penalties and shrinking reimbursements from private insurers, many are looking for ways to make up for that missing revenue. Some are seeking creative ways to collect on the bad debt incurred from patients unable to pay their bills.
Healthcare prices in October 2013 rose 0.9 percent above October 2012, the lowest reading in 50-plus years, according to a recent brief from the Altarum Institute.
While the word "healthcare" can be heard everywhere these days, how exactly do healthcare organizations achieve their goals of improving patient care and ensuring profitability? One of the most important ways a healthcare organization can accomplish these goals is to focus on ensuring claims are filed expediently and accurately while still ensuring patient privacy.
About 100,000 Iowans newly eligible for Medicaid are set to get private insurance coverage through a demonstration project approved by the federal government, the second Medicaid "private option" okayed this year.
Insurers who may get hit with losses as a result of continuing previously cancelled plans may get some financial assistance from the federal government. But eligible insurers won't see that relief until 2015.