Reimbursement
You'd be forgiven for thinking revenue cycle management technology is a bit, well, boring. You'd also be wrong. The coming years are going to see some big changes in the way hospitals get paid -- and the IT they use to track when and how they get paid is going to have to change as well.
Arizona Governor Jan Brewer has signed a law requiring providers to publicly display the prices of their most common services and changing the state's Medicaid reimbursement methodology.
Major changes driven by the Affordable Care Act and rising consumer cost-sharing are slowing the rise in the healthcare growth rate, now projected at 6.5 percent in 2014, a full percentage point from the 7.5 percent predicted for this year, according to PwC's Health Research Institute (HRI).
The Affordable Care Act's medical loss ratio (MLR) will bring 8.5 million insurance customers about $500 million in rebates this summer and hopefully drive more competition in the long run, federal health officials said Thursday.
Unexpectedly tasked with operating an insurance exchange in 34 states, the Centers for Medicare & Medicaid Services is mostly on track to have the federal data services hub running in October, according to the Government Accountability Office.
Amid sporadic news of employers cutting workers' hours apparently to avoid Affordable Care Act requirements, two U.S. senators want to amend the law to redefine full-time as 40 hours per week.
Major changes driven by the Affordable Care Act and rising consumer cost-sharing are slowing the rise in the healthcare growth rate, according to PwC's Health Research Institute (HRI).
Testing for ICD-10 could cost big money, but failing to test could cost more, according to Mark Lott, CEO of Lott QA Group and coordinator for the HIMSS WEDI National Pilot Program.
Medicare eligible professionals (EPs) who do not demonstrate meaningful use for the Medicare EHR Incentive Program may be subject to a payment adjustment beginning Jan. 1, 2015. To ensure that Medicare EPs are aware of the adjustments -- and how to avoid them -- Healthcare Finance News' sister publication, PhysBizTech, recently spoke to Rob Anthony, deputy director of the HIT Initiatives Group at the Centers for Medicare & Medicaid Services, which administers the EHR Incentive Programs.
Out-of-pocket costs for bronze-level individual health plans under the Affordable Care Act may be higher than current plans on the market, according to a study by HealthPocket.