Reimbursement
The Connecticut Attorney General has reached a settlement with the owner of six dental management and consulting firms accused of Medicaid fraud.
A report from Premier healthcare alliance has found that commercial payers do not offer as many of the upside-only payment arrangements for shared savings that are popular among early accountable care organizations (ACOs) as public payers do.
Aetna will include The Leapfrog Group's Hospital Safety Scores in its DocFind online hospital directory to help patients make better decisions about their care.
A federal court has struck down a California "carve in" law requiring Medicaid safety net providers to only dispense drugs purchased at a discount, although the ruling also implied that type of mandate would be permissible with federal approval.
The Robert Wood Johnson Foundation (RWJF) announced Tuesday a competition to improve consumer understanding and use of data comparing hospital prices but the results could also be of use to hospitals.
The National Women's Law Center (NWLC) has filed federal discrimination complaints against five large employers, arguing that their exclusion of pregnancy coverage in health benefits for dependent children violates the Affordable Care Act's nondiscrimination provisions.
Adding more mixed evidence to the Medicaid expansion debate, health researchers found that extending coverage to low-income, childless adults in Wisconsin corresponded with a decrease in preventable hospitalizations but also increases in outpatient and emergency department visits.
Adding more mixed evidence to the Medicaid expansion debate, health researchers found that extending coverage to low-income, childless adults in Wisconsin corresponded with a decrease in preventable hospitalizations but also increases in outpatient and emergency department visits.
The 2013 AHIP Institute will have special significance this year, with the annual gathering taking place shortly before major components of the Affordable Care Act are activated.
The New Hampshire Governor's Commission on Medicaid Care Management is recommending expanding Medicaid eligibility under the Affordable Care Act, "due to its necessity" in transitioning the state's Medicaid program from fee-for-service to managed care.