Reimbursement
A key component to making value-based payment models work is getting physicians on board. But while physicians are supportive of the improved care coordination of such models, they are wary of how the payment structure will work.
Many experts predicted that the opening of the healthcare exchanges would be rife with technological glitches. As it turns out, they were correct.
Aetna has formed an accountable care organization with PinnacleHealth System for its commercial plan members in the Harrisburg-Central Pennsylvania area, one of multiple value-based models launched recently in the state.
Existing market share has been a fairly good predictor of health plan participation in the federal exchange, although new entrants like CO-OPs may give some a run for their money, according to a Milliman report.
Dual coding is probably the best idea to support the ICD-10 transition that many healthcare providers may not be able to afford. Here's why.
A key component to making value-based payment models work is getting physicians on board. But while physicians are supportive of the improved care coordination of such models, they are wary of how the payment structure will work.
Did you know that ultrasound, as a nonradiation modality, is expected to see an overall increase in reimbursement? Although there are some areas where threats of lower reimbursements are serious, overall, there will be incentives to utilize ultrasound where it is clinically warranted.
Whether it's guarding against "malicious insiders" or ensuring C-suite execs are scared straight about the risks and regs they face, the coming year poses big challenges to healthcare, according to Kroll's annual Cyber Security Forecast.
Medicare is expanding coverage for telehealth consults next year, as part of a gradual embrace of the technology that mobile and remote healthcare advocates have been hoping to accelerate.
When the Centers for Medicare & Medicaid Services announced the 2014 pay rates for physicians last week, the agency touted a final rule reflecting a shift to a greater emphasis on high-quality care and efficiency. Physician groups were unimpressed, instead keeping their focus on the sustainable growth rate (SGR) that the fee schedule maintains.