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Reimbursement

By Healthcare Finance Staff | 12:44 pm | December 16, 2011
TriZetto Chief Medical Officer Jeff Rideout recently spoke with Healthcare Payer News Editor Chris Anderson about how data will play a part in redesigning the healthcare landscape and the readiness of both payers and providers to collaborate on these changes.
By Healthcare Finance Staff | 09:40 am | December 16, 2011
The Department of Health and Human Services has the power to publicize and review insurance premium rate hikes over 10 percent. In the past few months, many insurance companies have come under fire for excessive rate hikes. Healthcare Finance News asked its readers their opinion on HHS' rate review process.
By Healthcare Finance Staff | 06:44 pm | December 15, 2011
The use of mobile applications to help manage members' health and wellness are gaining traction with payers, as they look to connect to their members via mobile technology many already use everyday.
By Healthcare Finance Staff | 12:06 pm | December 15, 2011
Axial Exchange, which develops interoperability technologies based on an open-infrastructure platform, has won the "Ensuring Safe Transitions from Hospital to Home" initiative, sponsored by Health 2.0 and the Department of Health and
By Healthcare Finance Staff | 11:08 am | December 15, 2011
Twenty-nine hospitals in Greater Philadelphia cut readmission rates by 7 percent and saved $3.8 million in the third quarter, according to Transitions of Care Survey Summary Report from the Health Care Improvement Foundation.
By Stephanie Bouchard | 04:11 pm | December 14, 2011
A House bill passed Tuesday that included a "fix" to the ongoing sustainable growth rate problem is expected to meet its demise in the Senate. If the bill somehow survives, President Barack Obama has threatened to veto it. Where does that leave doctors? Facing the likelihood of a 27.4 percent pay cut.
By Kester Freeman | 09:57 am | December 14, 2011
To understand the value of Medicare demonstration projects you should take a look at a recent article from American Medical News.
By Healthcare Finance Staff | 11:33 am | December 13, 2011
Can you hear that clock ticking down to Jan. 1, 2012? If you are among the few in healthcare who are really on the ball, becoming compliant with new ASC-X12 5010 transaction standards ahead of the deadline, then congratulations! A big weight is off your shoulders.
By Healthcare Finance Staff | 08:01 pm | December 12, 2011
Dr. Donald Berwick, who oversaw Medicare and Medicaid until earlier this month, defended the programs Monday, but said they are trapped in a U.S. health system that promotes wasteful spending and inefficient care.
By Healthcare Finance Staff | 04:10 pm | December 12, 2011
Dossia, the open-source personal health record service developed by a group of Fortune 500 employers, announced Monday that the Dossia Health Management System has been deployed at six of its founding member companies – leading to sharp uptick in patient engagement.