Reimbursement
Humana Inc. on Tuesday announced that it will acquire acute care management company SeniorBridge, as the national insurer and provider of Medicare plans looks to strengthen its care management capabilities nationwide.
Leavitt Partners' Center for ACO Intelligence, which tracks national and regional trends related to ACOs and other emerging care delivery systems, released a white paper Wednesday on the status of ACOs following federal health reform.
Most of the recent efforts to reform our country's healthcare system have been focused on the development of accountable care organizations.
Why is a major health insurer conversing with hospital systems in Pennsylvania to discuss performance on quality measures? They are discussing reimbursement incentives as participants in Highmark Inc.'s QualityBLUE pay-for-performance program.
With all the talk of Medicaid expansion under healthcare reform, we sometimes forget that a state’s current economic woes can affect funding for this valuable resource.
The California Hospital Association last week petitioned a federal district court to grant a preliminary injunction against California's Medicaid program, called Medi-Cal, to prevent it from making 10 percent reimbursement cuts primarily affecting hospital-based skilled nursing facilities.
Officials at Accenture and AT&T have launched a new medical imaging solution they say will help hospitals access medical images and doctors to collaborate.
Medicare Advantage members in Pennsylvania who enrolled in a Health Quality Partners (HQP) care management program had 20 percent fewer inpatient hospital admissions, according to a report issued by Aetna on Nov. 16.
The healthcare industry's implementation of HIPAA 4010 was the first time it attempted to standardize transactions between providers and payers. And there were a lot of lessons to be learned. CMS has corrected some of the issues, and as a result, HIPAA 5010 implementation has been smoother.
The three pillars of what's often dubbed Newt Inc. -- two for-profit groups and one defunct political committee -- raked in more than $105 million in revenue and donations from 2001 through 2010 while Newt Gingrich was eyeing a political comeback.