Reimbursement
Lawyers for Cigna are asking a federal appeals court to reject a Houston hospital's bid to sue over withheld medical reimbursements, arguing that the provider's "prompt pay discounts" threw its cost-sharing model awry.
It's not surprising that the average person is pretty confused about the Affordable Care Act. It's a complex piece of legislation that gets phased in gradually, and opponents have been attacking the law and intentionally confusing people while proponents have been less effective about getting the word out.
As healthcare delivery and reimbursement models transition to ensuring quality care versus quantity of care, some sectors of the healthcare industry will benefit more than others.
WellPoint Inc., the second largest health insurer, posted better-than-expected second quarter earnings Wednesday by taming medical cost increases in its employer-based business and benefiting from the Medicaid operations in its recent Amerigroup transaction.
Within the context of the healthcare supply chain, Business Intelligence (BI) technology can offer chief financial officers, supply chain executives and other hospital personnel an automated way to obtain end-to-end visibility of service line management, according to Group Purchasing Organizations.
The Physician Payments Sunshine provisions of the Affordable Care Act require all U.S. drug and medical device manufacturers covered under Medicare, Medicaid or SCHIP to disclose payments to physicians and teaching hospitals. T
The seemingly millions of tasks for payers to be ready for the roll out of health insurance exchanges should be steadily shrinking as October swiftly approaches, but there is still much to do, including looking to the future.
About 20 medical episodes account for about 40 percent of the past half-decade's growth in employer healthcare spending, according to a new study.
A family dentist in deep southern Texas is suing to pare back the state Health and Human Services Commission's power to withhold and freeze Medicaid payments for program violations.
Real-time claims processing can result in financial benefits, so healthcare technophobes need to get on board.