Reimbursement
Baptist Health Madisonville, in Madisonville, Ky., announced Thursday that it has begun work with TransforMED, a Patient-Centered Medical Home transformation program, to improve primary healthcare for its patients in western Kentucky.
Two of the nation's leading forces in health insurance -- UnitedHealthcare and the Blue Cross and Blue Shield Association -- will face off Thursday before a congressional subcommittee in a battle for control of the $47 billion program that covers 8 million federal employees, retirees and their families.
As President Barack Obama takes his budget and deficit-reduction proposals to Congress and the public, the Department of Health and Human Services has unveiled its proposed budget for the 2014 fiscal year.
In Europe, reimbursement decisions for drugs often include explicit consideration of cost effectiveness and a comparison of the efficacy of the new drug with products that are already available.
The former head of Massachusetts' health insurance exchange thinks that advertising and outreach will make or break the enrollment success of federal and state-based HIXs.
Marilyn Tavenner, acting administrator of the Centers for Medicare & Medicaid Services, received accolades from both sides of the aisle at a hearing on Tuesday to consider her nomination to head CMS. Senate Finance Committee leaders indicated a decision would come soon.
Healthcare insurer UnitedHealth Group has awarded On Lok Lifeways a $897,240 grant to help strengthen its health information technology system and delivery of care to San Francisco Bay area seniors through electronic medical records initiatives. The grant is part of $5.2 million UnitedHealthcare awarded to nine healthcare organizations to support nonprofit clinics, hospitals and healthcare organizations that improve healthcare services for underserved communities across California.
Consumers are increasingly using reviews and rating systems to help guide their healthcare decisions because they are responsible for paying more of their healthcare costs. As a result, the voice of the consumer is taking a larger role in the bottom line of healthcare organizations, according to a report released Tuesday from PwC's Health Research Institute.
One of the biggest challenges hospitals face is getting paid. There's a long list of headaches contributing to a very challenging landscape in the medical billing world. Michele Hilton, general manager of medical billing services, ADP AdvancedMD, offers a little painkiller cocktail to preemptively strike against the headaches of medical billing.
The Medicare Payment Advisory Commission (MedPAC) on Friday debated how to change the payment method for chronically critically ill patients in acute care and long-term care hospitals so they are more accurate and based on patient needs.