Reimbursement
A majority of healthcare providers are actively cutting costs in reaction to changes caused by healthcare reform finds a new survey by a supply chain improvement company.
More than half of private companies are finding themselves ahead of the government's employer insurance requirements now that the Treasury Department has delayed compliance until 2015.
Employees buying health insurance in private exchanges, with defined contributions from their employers, tend to choose plans with lower premiums and higher deductibles, according to data published by the private insurance exchange Liazon.
The administrative director of a Columbus, Ga., cancer clinic has filed a whistleblower lawsuit, alleging violations of the False Claims Act for "systematically" overbilling Medicare, Medicaid and TRICARE with widespread upcoding and shoddy documentation practices.
Many state health insurance exchanges will show a high level of plan competition and attract multiple insurers, based on the experience of six states, according to a new report released Friday by the Robert Wood Johnson Foundation (RWJF).
UnitedHealthcare announced Wednesday that the company will double its number of accountable care contracts over the next five years, representing more than $50 billion of reimbursements by 2017.
The integrated care model has been touted as being able to deliver better care for patients and lower costs and improve efficiencies for the healthcare system but a recent study of the model in the United Kingdom by RAND Europe reports lukewarm results.
The integrated care model has been touted as being able to deliver better care for patients and lower costs and improve efficiencies for the healthcare system. A recent study of the model in the United Kingdom by RAND Europe suggests that it does indeed provide benefits, but those benefits are most likely perceived by healthcare professionals rather than by their patients, and cost savings were minimal.
Insurer WellPoint will pay a $1.7 million fine to settle potential HIPAA violations that it left the names, Social Security numbers and other personal health information of more than 600,000 individuals accessible over the Internet, the Health and Human Services Department said late Thursday in a news release.
"Let's just make sure it's not a third-world experience," Henry Chao, CMS deputy CIO, said of the federal government's goal for the consumer experience in health insurance exchanges. Among the "young invincibles" needed for functioning exchange markets, though, the online experience may make or break their interest in buying insurance.