Reimbursement
Health insurer Priority Health has announced it has contracted with Healthcare Blue Book to publish cost and quality information for more than 300 procedures by facility and physician for its insurance members in Michigan.
Hospitals make more of a profit when surgical patients develop complications finds a new study published Wednesday in JAMA.
The Federal Bureau of Investigation estimates that healthcare fraud costs are approximately $80 billion annually. To prevent some of the billions from being siphoned from the healthcare system, many organizations are turning toward analytics.
After rejecting the Affordable Care Act's Medicaid expansion, Florida Republican lawmakers have proposed what they call a market-based program for covering the uninsured that's entirely state-funded, prompting criticism from Democrats, progressive advocates and even the Republican governor, Rick Scott.
In the era of reform, healthcare providers will have to operate more like any other business by using the most efficient methods to deliver and pay for the most effective care, said a panel representing the banking industry and healthcare payers and providers during a business of healthcare session at the 2013 HIMSS Annual Conference & Exhibition last week. Electronic transactions offer an attractive solution.
New York Gov. Andrew Cuomo has proposed allowing hospitals in the state to be owned and operated by businesses. Though most states already have business-owned hospitals, this will be a major change for New York state, which has one of the tightest-regulated healthcare industries in the nation.
Across the country, hospitals and health systems are transitioning to accountable care organizations (ACOs). What does it take to do that?
The rapid pace of change for hospitals and healthcare systems has been accelerating over the last several years.
Field testing of new models of healthcare delivery and payment often reveal unanticipated challenges and benefits in efforts to achieve targeted outcomes.
While Connecticut's 2014-2015 budget has yet to be finalized, hospitals and healthcare systems in the state are claiming that Gov. Dannel P. Malloy's proposed cuts of more than $500 million in hospital funding over the next two years would be devastating.