Reimbursement
On the same day voters in Ohio were summarily rejecting by a margin of nearly 2-to-1 the individual mandate in the Affordable Care Act, justices at the U.S. Court of Appeals for the District of Columbia weighed in with a ruling upholding the mandate as constitutional.
A new survey from Anthelio finds that a majority of community hospitals report having low operating margins due to rising healthcare costs and lower Medicare/Medicaid reimbursement. Nonetheless, most hospitals surveyed are still working to put in place an array of health IT.
A new study from Rand Corp. of the PROMETHEUS Payment project shows that bundling payments to providers as a means to cut healthcare costs is proving harder to accomplish than originally anticipated.
New Hampshire has one of the oldest populations in the country. New Hampshire Public Radio recently hosted a newscast in which guests shared how Medicare's 'silver tsunami' could not only be economically devastating to the Granite State, but to the future of the healthcare structure.
Bundling payments to providers as a means to cut healthcare costs is proving harder to do than originally anticipated, according to a new study from non-profit research organization Rand Corp.
HMS Holdings Corp. announced Monday that it will acquire HealthDataInsights, the Medicare recovery audit contractor for Region D, for approximately $400 million.
HMS Holdings Corp. announced Monday it will acquire privately held HealthDataInsights, which identifies and recoups improper payments for health plans and government payers, for approximately $400 million.
A one-year-old accountable care organization established by Allina Hospitals & Clinic and payer HealthPartners has reported that it reduced medical cost by $6 million in 2010 and reduced the medical cost trend to 3 percent compared with 8 percent in 2009.
Partners HealthCare, a nine-hospital health system with 1,800 primary care physicians and more than 6,000 specialists, has agreed to join Blue Cross Blue Shield of Massachusetts' Alternative Quality Contract (AQC) global payment model beginning Jan. 1, 2012.
Federal bundled payments efforts promise providers a share in savings for improved quality and lower costs, but it will likely take the squeeze in fee-for-service Medicare payments to drive many providers to participate.