Reimbursement
The Office of the National Coordinator for Health Information Technology (ONC) announced on July 12 guidance for reporting laboratory results using Direct Project specifications.
In recognition of the complex medical decisions faced by patients with advanced, chronic illnesses, behavioral counseling company Vital Decision and care management specialist inVentiv Medical Management (iMM) have launched a combined service for payers, providers and seriously ill patients.
The Centers for Medicare and Medicaid Services has already received letters from 12 states declaring their commitment and plans to create a health insurance exchange.
According to a national study released Wednesday by the Center for Studying Health System Change (HSC), contrary to popular belief, the majority of emergency department (ED) visits by nonelderly Medicaid patients are actually for signs and symptoms of urgent or more serious medical conditions or emergencies rather than routine care.
In the second half of 2011, the New York eHealth Collaborative (NYeC) shifted its role from a policy convener to a service provider that runs the health information exchange (HIE) infrastructure for the local HIEs and regional health information organizations (RHIOs) like a public utility.
The Centers for Medicare & Medicaid Services has added 89 more accountable care organizations (ACOs) to coordinate care and improve quality for Medicare patients in 40 states and Washington, D.C.
Health Information Partnership for Tennessee (HIP TN), which was convened three years ago to help the Volunteer State develop a statewide health information exchange, has voted to "wind down" operations.
On Friday, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would update many payment policies and rates involving services for Medicare beneficiaries in hospital outpatient departments (HOPDs) and ambulatory surgical centers (ASCs) beginning on Jan. 1. 2013.
In a bid that will nearly double the number of members it serves in the Medicaid market, WellPoint Inc. today announced it will acquire managed care company Amerigroup for $92 per share or roughly $4.9 billion.
A lawsuit filed July 3 by doctors and medical groups including the Los Angeles County Medical Association and the California Medical Association accuses health insurer Aetna of systematically threatening to deny coverage to members who receive out-of-network referrals for healthcare.