Reimbursement
President Obama went on the offensive to defend the benefits of the Affordable Care Act amid a rollout of the federal government's insurance marketplace website that has been disappointing, at best, at the same time that he assembles a sort of health tech dream team to fix the problems before it's too late.
WellPoint is taking a tough stance to try to combat prescription drug abuse and fraud activities that bubble to the surface through predictive analytics and other data runs of its members and their providers and pharmacies.
McKesson Corp. is settling allegations of drug pricing inflation with Virginia Medicaid, in one of the largest such recoveries for a state.
Three weeks after the disastrous launch of its health insurance marketplace, the Obama administration has vowed to redouble its efforts to fix its many glitches, promising a 'tech surge' to iron out its problems and improve the customer experience.
The healthcare system has been pretty much a business-to-business sector, but from October, two big things change. Millions of unpredictable individuals enter the market as consumers, and the underlying risk calculation shifts from one that is largely clear and underwritten, to one that depends on a precarious balance.
I first posed the question "Could Mobile Health Become Addictive?" on August 20. Since then I've done more thinking, and I'm warming to the concept.
Many small businesses find the services offered by Affordable Care Act's SHOP exchanges attractive, but they're also interested in self-funding, a potential threat to the critical mass needed for HIXs to thrive.
The first insurer to report third quarter financials, UnitedHealth Group posted net quarterly earnings of $1.57 billion, a 1 percent year-over-year increase, with its Optum business contributing nearly 25 percent of profits.
Optum, part of UnitedHealth Group, and Dignity Health, one of the country's largest healthcare systems, have formed a revenue cycle management company, Optum360, that combines Dignity's revenue cycle management infrastructure and network scale with Optum's technology, analytics and broad client base of providers and health plans.
A new study indicates that 518 community health centers in the more than two dozen states not expanding Medicaid will lose out on $555 million next year.