Reimbursement

A Michigan pilot to bring primary care to the home for patients living with advanced chronic illness will now spread across the state. Priority Health, a Michigan-based nonprofit health plan, tested the concept last year with Spectrum Health Medical Group for 90 of its patients.

To highlight the importance of consumer engagement by payers, a health rewards company has ranked health insurers based on how they got members involved in their daily health through the use of mobile tools and social media.

Along with Washington D.C., 23 states are expanding Medicaid eligibility under the Affordable Care Act, while 21 are currently on the record declining expansion and six are kind of on the fence.

Without question, the recently reported one-year grace period granted to some insurers for out-of-pocket expenses will have a serious effect on the financial health of both patients and hospitals.

The North Carolina Department of Health and Human Services' website will soon be publishing the prices of the 140 most common in-patient, surgical and imaging services performed by every hospital in the state.

As far as semantics go, therapeutics sound more appealing than generics, but researchers from the University of California, Los Angeles are saying that the switch may be worth it in more ways than just wordage.

Fraud in Kansas' Medicaid program increased 43 percent during the last fiscal year, reaching a state record of $33 million detected.

You could put off communicating with your healthcare payers until you submit your first ICD-10 coded claim Oct. 1, 2014. What could go wrong?

Fraud in Kansas' Medicaid program increased 43 percent during the last fiscal year, reaching $33 million detected, some of it from a scheme that funded an 11-acre mansion.

As healthcare costs for employers continue to rise, they are taking steps to control costs and manage risks, finds two recent research reports.