Reimbursement

With healthcare reform generating so many unknowns, many hospital administrators are looking for ways to build up cash reserves as a defense against worst-case reimbursement scenarios.

One area in which Congress has acted in a bipartisan manner is in crafting a permanent solution to the “doc fix,” the sustainable growth rate formula.

Low-cost standalone prescription drug plans for Medicare Part D have been growing in market share, accounting for 16 percent of drug plans, according to an analysis of federal data by Avalere Health.

Insuring more people as a direct result of the Affordable Care Act will bump up national health spending in 2014 to a 6.1 percent growth rate, according to the Centers for Medicare & Medicaid Services. But for private health insurance, the spending growth rate will more than double.

Cigna will begin using MyFitnessPal's nutrition, physical activity and weight management platform to enhance its coaching programs. It's a way for the payer to support and meet members where they are as they try to manage their health.

A recently unsealed lawsuit alleges that Vanderbilt Medical Center has been systematically billing Medicare fraudulent charges for at least a decade.

National health spending will accelerate in 2014, as more individuals will be able to access health insurance under the Affordable Care Act.

The vast amount of consolidated sensitive information passing through health information exchanges is unprecedented, and will introduce privacy and technology risks that HIX stakeholders need to be vigilant in addressing.

The public insurance marketplace Covered California is preparing its consumer assistance strategies for what will be one of the largest, most diverse insurance markets under the Affordable Care Act.

This short video, sponsored by the Colorado Regional Care Collaborative Organization (RCCO) and produced by Health2 Resources, shows how Colorado healthcare leaders are driving transformation in the area through community engagement.