Reimbursement
Florida's Shands Healthcare has agreed to pay $26 million to settle allegations that six of the network's hospitals had billed Medicare, Medicaid and the Department of Defense's TRICARE healthcare program for inpatient procedures that should have been processed as outpatient services, the Justice Department said Monday.
Massachusetts' first annual report on the commonwealth's healthcare market shows a limited movement away from fee-for-service and a market concentrated among a few large payers.
Put to rest any hopes that Recovery Audit Contractors, or RACs, will be going away anytime soon.
Former Director, White House Office of Health Reform, and former Administrator, Centers for Medicare & Medicaid Services
Partner, Consonance Capital Partners, New York City
As medical supply prices have steadily risen in recent years, many hospitals have turned to group purchasing organizations to buy in bulk and keep costs down, but group product purchasing also complicates the product supply trail, often leading to errors that prevent fulfillment, delivery and payment.
Policy advisors for Delaware Governor Jack Markell are crafting plans to introduce accountable care models into the state's payment and provider systems with support from the Centers for Medicare & Medicaid Services.
Massachusetts' first annual report on the state healthcare market shows high costs putting pressure on consumers, just as the state is embracing alternative payment models.
Healthcare prices in the United States rose marginally from June to July 2013, according to the federal Bureau of Labor Statistics, although the rate of increase was higher than a year ago.
CareFirst BlueCross BlueShield has jumped head-first into the deep waters of mobile health. The health insurance giant has selected Cognizant, a mobile communication company, to provide a platform for getting mobile apps to its 3.3 million members.
Farzad Mostashari, Dick Foster and Uwe Reinhardt lead a panel discussion at Health Datapalooza IV to discuss whether or not the current surge in public and private sector spending on health IT programs is going to reduce healthcare costs.