Reimbursement
Although the country's longstanding problem of inadequate healthcare access may be solved by the Affordable Care Act, the investigator behind Time's "Bitter Pill" thinks the law will at best make only modest gains towards its namesake principle of affordability.
New research suggests that healthcare organizations can lower their readmission rates and improve patient care simply by using oral nutritional supplements as part of an overall patient care protocol.
If it feels like there are more federal compliance requirements for health plan staff these days, it's because there are -- from exchanges to HIPAA to Medicaid to Medicare Medicare Advantage.
Health plans are increasingly using mobile health to engage its customers, but Molina Healthcare in Utah has gone a step further by providing the use of free cell phones to eligible Medicaid members so they can receive text message-based health services and be more involved in their care.
New research suggests that hospitals can lower their readmission rates and improve patient care simply by using oral nutritional supplements as part of an overall patient care protocol. Better nutrition is often overlooked as a tool to support better outcomes.
Not long ago, New York's Medicaid program had a pretty awful reputation: some of the highest per capita spending, mediocre care quality, coverage for medically dubious procedures and widespread fraud. Today, the state is making strides to shed that image.
Health plans with a high proportion of dual-eligible members may be at a disadvantage for receiving quality incentive payments, suggests a new study.
With venture capital firms currently investing record amounts in the healthcare space, mobile health entrepreneurs are keen to take advantage. As a result, next month's mHealth Summit Venture+ Forum may be the place to see many deals go down.
More hospitals are receiving penalties than bonuses in the second year of Medicare's quality incentive program, and the average penalty is steeper than it was last year, government records show.
The complexities of managing dual eligibles may cause difficulties for health plans and providers trying to achieve improved quality outcomes.