Reimbursement
With 30 million new customers who will be shopping for and buying insurance products starting in October, health insurance companies need to finds ways to change their business model to one that is more focused on the consumer, as opposed to their traditional business-to-business relationships. Jean-Pierre Stephan, management consulting lead for the Health Customer Relationship Management (CRM) Practice at Accenture, recently spoke to Healthcare Finance News Senior Editor Chris Anderson about the challenges awaiting insurers as they make this transition.
Health IT's hallowed bipartisan support ostensibly survived the presidential election and, subsequently, the fiscal cliff debate – but as the budgetary battles trudge on in Washington that fate is not so guaranteed as it once seemed.
Across the country, state governments are trying to come up with the most reasonable and effective ways to pay back their Medicaid deficits owed to hospitals.
Peoria, Ill.-based Methodist Health Services Corp. has filed a lawsuit accusing the region's largest provider of breaking antitrust laws with "exclusionary" contracts that limit commercial insurers' ability to contract with other hospitals.
Many healthcare leaders around the country are agreeing that 2013 is going to be a challenging year for hospitals and healthcare systems, and many are going to have to refine their thinking, said Jeff Jones, managing director at Huron Healthcare, a healthcare consulting firm.
An early February bill introduced in the House by Reps. Allyson Schwartz (D-Penn.) and Joe Heck, MD, (R-Nev.) has once again raised hopes that the sustainable growth rate (SGR) formula payment model for Medicare can finally be repealed.
The highest level of healthcare consolidation since the turn of the millennium occurred during 2012 and it is expected to continue - if not accelerate - going forward, a new report from Chicago-based Fitch Ratings contends.
The introduction of health insurance exchanges is generating interest among health plan members who purchase insurance directly, as well as those who have high deductibles and/or lower levels of overall satisfaction, according to the J.D. Power and Associates 2013 Member Health Plan Study released today.
The cHealth Blog is coming up on its 3rd anniversary and during that time I've taken my share of pot shots at organized medicine. Most implementations of connected health are in some way disruptive to the status quo, so I can't help but point out those opportunities and barriers.
In the grand finale of the 2013 HIMSS Annual Conference and Exhibition in New Orleans, Karl Rove and James Carville took the stage for a most theatrical debate on sequestration, party politics, immigration and, of course, healthcare reform.