Reimbursement

New models for reimbursing physicians that put a greater financial risk on the medical practice is the No. 1 challenge in a list of five concerns that weigh most heavily on practice administrators, according to new research from the Medical Group Management Association.

Payers are on track for the implementation of ICD-10 and do not anticipate problems with processing payments -- at least according to Ian Bonnet, vice president leading the ICD-10 rollout at health insurer Wellpoint.

The Centers for Medicare & Medicaid Services (CMS) has selected defense contractor Northrop Grumman to develop and implement a fraud prevention system to help identify high-risk claims in support of the National Fraud Prevention Program.

Payers are on track for the implementation of ICD-10 and do not anticipate problems with processing payments – at least according to Ian Bonnet, vice president leading the ICD-10 rollout at health insurer Wellpoint.

The Robert Wood Johnson Foundation (RWJF) has launched a new online consumer directory of physicians and hospitals.

Metropolitan Health Networks will acquire Continucare for $416 million in cash and stock, in a deal that will create a combined entity providing care to more than 68,000 Medicare Advantage and Medicaid customers in 18 Florida counties.

With health systems scrambling to meet the October 1, 2013, ICD-10 implementation deadline, 3M Health Information Systems aims to help with staff training with its 3M ICD-10 Education Program.

With the prohibitive and rising cost of healthcare, there has never been a greater need for accountable care organizations, according to Mark McClellan, MD, former Administrator for the Centers for Medicare and Medicaid Services.

At a Monday session of the National Health IT and Delivery System Transformation Summit in Washington, Farzad Mostashari, MD, the national coordinator for health IT, made an eloquent and persuasive case for how meaningful use is not just an arbitrary set of requirements the government is asking of providers in exchange for incentives.

The Centers for Medicare and Medicaid Services has informed state Medicaid directors of new smoking cessation services and reminded them that Medicaid programs are now required to fully cover those services for pregnant women.