Reimbursement
Perched by a computer monitor wedged between shelves of cough drops and the pharmacy in a bustling Walmart, Mohamed Khader taps out answers to questions such as how often he eats vegetables, whether anyone in his family has diabetes and his age.
Florida's GOP Gov. Rick Scott will adopt Medicaid expansion for three years while the federal government pays full freight, and then leave it to state lawmakers to re-authorize it.
For the last 10 years, the Camden Coalition of Healthcare Providers (CCHP), in Camden, N.J., has worked with local healthcare providers, hospitals and physician practices to improve quality, care coordination and costs by focusing on what the organization calls "superusers" and the high-cost "hot spots" in the city.
The Department of Health and Human Services has published final rules for essential health benefits and several other policies, clarifying rules on mental health benefits.
For the last 10 years, the Camden Coalition of Healthcare Providers (CCHP), in Camden, N.J., has worked with local healthcare providers, hospitals and physician practices to improve quality, care coordination and costs by focusing on what the organization calls "superusers" and the high-cost "hot spots" in the city.
U.S. healthcare prices increased in January 2013, rising 0.2 percent over December 2012 prices, according to the federal Bureau of Labor Statistics.
Consumers in many instances face higher health insurance premiums than the price originally quoted them on their plan applications, according to new analysis from insurance-comparison website HealthPocket.
The U.S. Supreme Court has ruled that state and local government-owned corporations are not always immune from federal antitrust laws, allowing the Federal Trade Commission (FTC) to continue its challenge of a merger by two health systems owned by a Georgia county hospital authority.
The New Jersey Hospital Association is expanding an innovative "gainsharing" pilot program designed to improve healthcare efficiency and reduce costs by promoting better coordination and collaboration among New Jersey hospitals and physicians.
The Centers for Medicare & Medicaid Services (CMS) has proposed several dozen regulatory updates to Medicare Advantage and Part D prescription drug plans, covering cost sharing, minimum loss ratios, risk adjustment, payment methodologies and other policies.