Reimbursement

The growth rate of healthcare spending among those with private, employer-sponsored health insurance rose 4 percent in 2012, slightly lower than the previous year, but with more dollars spent on outpatient care and out-of-pocket expenses, according to the Health Care Cost Institute.

Aetna is expanding its accountable care relationship with the Sharp HealthCare system, introducing a new insurance product for large group members in greater San Diego.

The Centers for Medicare & Medicaid Services (CMS) issued a final rule on Medicaid payments to disproportionate share hospitals (DSH) last week, cutting approximately $1.1 billion from the program over the next two fiscal years.

There is a "wide gap" between financial experts and the public at large on the issue of Medicare's financial state, according to the New England Journal of Medicine.

Much of the marketing to potential enrollees of health insurance exchanges has been conducted by health insurers and other organizations advancing the marketplaces, but health systems have a role to play in signing up individuals that could also benefit their bottom line.

Many health systems lag on strategies to take advantage of new open enrollment on health insurance exchanges that could help offset declining revenues from fewer admissions and more care moving outside of the hospital.

A group of physicians hoping to offer new imaging and colonoscopy services in Virginia are facing an uphill battle trying to overturn the commonwealth's "certificate of need" law.

The Centers for Medicare & Medicaid Services issued a final rule on Medicaid payments to disproportionate share hospitals last week, cutting approximately $1.1 billion from the program over the next two fiscal years.

The Internal Revenue Service has issued final regulations to implement the ACA requirement that every individual have basic health insurance coverage, qualify for an exemption, or make a "shared responsibility" payment when filing a federal income tax return, beginning in 2014.

The role of the healthcare CFO is dramatically changing and expanding. Nowhere is this more apparent than in the position specifications that leading organizations are drafting as they search for their next financial leader.