Reimbursement
BayCare Health System in Clearwater, Fla., has agreed to pay over $10.1 million to the federal government to resolve allegations that the health system violated the False Claims Act announced the U.S. Justice Department (DOJ) last week.
A new report indicates that while U.S. primary care physicians still trail their counterparts in other countries in their use of electronic medical records (EMRs), they are making progress and are finding more efficiencies through EMR use.
In this week's HIX Digest, the tab for Minnesota's exchange is growing; Oregon takes public comment on proposed rules; and IT vendor Connecture unveils a plan management module for regulators.
The Centers for Medicare and Medicaid Services has named the first three participants in a program aimed at helping consumers get performance data of physicians and hospitals in their local market.
Covered California, the state-based health insurance exchange, plans to be financially self-sufficient by 2017 -- a goal all the more pressing in a state with some $617 billion in government debt.
As many as 31 million Americans now receive healthcare through an accountable care organization (ACO) according to a recent report "The ACO Suprise" from industry consulting company Oliver Wyman.
As many as 31 million Americans now receive healthcare through an accountable care organization (ACO) according to a recent report from industry consulting company Oliver Wyman.
Insurance coverage for tobacco cessation varies widely and is often explained in convoluted and occasionally contradictory contract language, a study of 39 health plans has found.
Healthcare reform is fundamentally changing the way hospitals are run. A combination of crushing costs, government edicts and fierce competition for the millions of newly insured patients that will result from federal healthcare legislation is putting the patient front and center.
A new report from the Government Accountability Office (GAO) found that less than 4 percent of Medicaid beneficiaries who had coverage for at least a year reported difficulty obtaining medical care in 2008 and 2009, this despite more than two-thirds of states reporting they faced challenges in ensuring there are enough Medicaid providers to serve the growing number of beneficiaries.