Reimbursement
With the U.S. Department of Health and Human Services expected to release new guidance to states for establishing health insurance exchanges, both states and insurance carriers are moving forward gingerly with plans for 2014 when the exchanges are set to go live.
Health4, the clinical integration program of the Health Group of Ohio, and Medical Mutual of Ohio have launched a coordinated payer-provider program that aims to reward hospitals and doctors for keeping patients healthy and reducing hospitalizations.
The Medicare Payment Advisory Commission (MedPAC) has released its June 2011 "Report to the Congress: Medicare and the Health Care Delivery System." The report includes a number of recommendations that have generated much controversy to address the growing use of ancillary services, particularly non-hospital diagnostic imaging services.
In a deal with eyes on the future of payment bundling and risk sharing among payers and providers, McKesson has announced an agreement to buy Portico Systems for a reported $90 million.
In all the talk around healthcare reform, the issue of meeting medical transportation needs of the burgeoning senior population hasn't received a lot of press, but as the healthcare system grapples with how it will manage an estimated 70 million Americans who will be age 65 and older by 2030, industry insiders say it's imperative the issue be addressed.
UnitedHealthcare is suing the Department of Defense over the loss of its TRICARE South Region contract. The health insurance company has been fighting for reinstatement of the contract it was originally awarded in 2009 but lost last February.
Healthcare facility administrators and physicians report that the most serious obstacle they face in forming accountable care organizations (ACOs) is physician interest, according to a new survey.
Many predictions were made early in 2011 about the issues that would challenge healthcare finance leaders this year. Does your experience bear them out?
An owner of a Houston healthcare company pled guilty Monday in connection with a $654,227 Medicare fraud scheme, announced the Departments of Justice and Health and Human Services (HHS).
Applying the principles of coordinated and integrated care beyond the Medicare market is essential if this country is going to successfully manage healthcare costs. The momentum is beginning to build across both the private and government sectors - even before Medicare ACOs become a reality.