Reimbursement
The Integrated Healthcare Association (IHA) named California's top performing physician organizations on Thursday, based on its statewide pay for performance program measures.
As health organizations begin to feel their way toward accountable care models, a new report from KLAS explores how providers and vendors are putting the pieces together, finding varying levels of confidence in IT solutions' integration ability.
With the ICD-10 transition deadline now just two years away, providers and payers have finally begun tackling the project in earnest, according to a new survey from the American Health Information Management Association (AHIMA), which shows 85 percent of organizations either planning for or implementing ICD-10 coding.
A new health research initiative called the Health Care Cost Institute was launched Tuesday, providing researchers and policymakers access to medical claims data from four major insurers and the federal government in order to offer new insights into healthcare costs, utilization and intensity.
While many in the industry liken the ICD-10 compliance date to flipping a switch, there will be a tricky subset of claims that "span the implementation date."
Throughout his career – as a pediatrician, Harvard professor and now CMS administrator – Donald Berwick has been a fan of quality guru W. Edwards Deming.
Steward Health Care System, the largest integrated community care organization and community hospital network in New England, announced last week that it is teaming with Tufts Health Plan to create a community hospital network health plan aimed at dramatically deceasing health insurance costs for small businesses.
CMS will use the claims and provider data to support policy activities and reimbursement for the Medicare Shared Savings and Pioneer ACO Model programs.
The wild attacks on Social Security by Republican presidential candidates including Rick Perry's famous characterization of the program as "a Ponzi scheme" are amusing, but are a serious distraction from the real fiscal issues facing the country.
Medicaid health plans will need to pay more attention to waste, abuse and fraud as federal and state agencies step up scrutiny to cut incorrect payments and reduce costs.