Reimbursement
After almost a year of preparation, 450 healthcare organizations will begin taking part in Medicare's Bundled Payments for Care Improvement initiative this month. The goal is to evaluate if paying for care by episodes can improve quality and reduce Medicare's costs.
After almost a year of preparation, 450 healthcare organizations begin taking part in Medicare's Bundled Payments for Care Improvement initiative this month. The goal is to evaluate if paying for care by episodes really can improve quality and reduce Medicare's costs.
Most patient consumers set to become newly insured under the Affordable Care Act (ACA) will see a decrease in out-of-pocket expenses, a new study from the RAND Corporation found.
Cigna is partnering with SocialWellth, a Las Vegas-based digital health company, to offer a platform to connect with members and deliver appropriate health and wellness digital content to them.
Although private exchanges exist today, the Affordable Care Act shines a greater spotlight on the "healthcare exchange" model. Many commercial payers are considering private exchanges as part of their channel strategy. Private exchange requirements continue to evolve alongside public exchanges, particularly on plan pricing.
Insurance cooperatives and provider-owned health plans are vying heavily for small business customers in federally-run insurance exchanges, appearing alongside (or in the absence of) Blues and national firms.
Once individuals learn about the health insurance exchanges, a majority lean toward using them. The challenge is that so many consumers still are unaware of them.
S&P Dow Jones Indices has launched a new indicator that measures claims data from 33 leading health insurance companies and other organizations to calculate the growth in commercial healthcare costs.
Bobbie Kite, a doctoral student at the University of Texas School of Public Health, sketches out a breakdown of hospital chargemaster lists, thier role the current U.S. healthcare model, and implications of the ACA.
While some large insurers were reluctant to start selling lots of individual policies through the federal insurance marketplace, a number of Blues plans dove right in.