Reimbursement
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.
Methodist Health Services Corp., a Peoria, Ill.-based health system, 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.
A new report by the Office of Inspector General (OIG) comes as a warning to Medicaid providers who don't keep careful watch over their books.
The association between mental health and physical health has a long history, yet the two disciplines often are viewed as disparate pieces of patient care. Making this link between a patient's physical and mental well-being is becoming paramount in terms of streamlining a patient's medical lifecycle. Bridging the gap is essential for creating a smarter roadmap to understand these cause-and-effect relationships and ending this false duality.
A bill introduced in the House this week by Reps. Allyson Schwartz (D-Penn.) and Joe Heck, MD, (R-Nev.) has once again raised hopes that the sustainable growth rate formula (SGR) payment model for Medicare can finally be repealed.
When deductibles are taken into account, about one-third of individual and family health plans currently exceed the Affordable Care Act's baseline limit on out-of-pocket expenses, researchers at the consumer website HealthPocket.com estimate.
A study recently released by insurance specialist firm The Hartford reveals that small businesses continue to succeed despite challenging economic conditions. In this video, Ray Sprague, senior vice president for The Hartford's small commercial insurance segment, shares key takeaways from the study and discusses strategies that small medical practices can implement to protect their business.
Hennepin County, Minnesota, is getting better outcomes with lower costs in a high-cost segment of its Medicaid population by being flexible and more targeted in meeting the needs of these patients learned an audience at the National Health Policy Conference Tuesday.
The Centers for Medicare & Medicaid Services will develop a new records system aimed at facilitating quality reporting for long-term hospital care, according to Wednesday's Federal Register.
New research finds that many seniors who switch from their HMO-style Medicare Advantage plan to traditional Medicare have higher levels of significant health problems, fueling concerns that the private plans cater to more profitable, healthy beneficiaries but don't provide the most attractive care for the very ill.