Reimbursement
Optimism among chief financial officers in the United States has fallen, but spending plans indicate continued moderate growth over the next year, according to the most recent Duke University/CFO Global Business Outlook Survey.
WellPoint Inc. announced today that it entered into an agreement to acquire CareMore Health Group, a Medicare Advantage health plan that also operates 26 clinics in select markets in California, Arizona and Nevada.
The State of Michigan is the latest entity to sue San Francisco-based prescription drug wholesaler McKesson Corp., for allegedly artificially inflating prices for certain brand name and generic drugs.
In a turnaround from earlier this year when it requested rate increases of more than 59 percent for some policy holders, Blue Shield of California announced yesterday it would limit its net income to no more than 2 percent of revenue.
Illinois Department of Healthcare and Family Services (HFS) has realized $262 million in net savings during the fourth year of Your Healthcare Plus, a care management program administered by McKesson.
Value-based insurance design (VBID), conceived by a multi-disciplinary faculty team at the university of Michigan, works on the premise of aligning patients' out-of-pocket costs with the value of health services. As applied to benefit plan design, VBID recognizes that different health services have different levels of value.
ikaSystems, a provider of cloud computing technology for the payer market, and NASCO, which specializes in IT tools to support Blue Cross and Blue Shield Plans, have partnered to bring faster, more efficient and accurate Medicare processes to NASCO Plan customers.
Atlanta-based Gentiva Health Services, one of the country's largest providers of home health services, has agreed to pay $12.5 million to settle claims that it fraudulently billed Medicare for costs related to company sales efforts, announced the U.S. Attorney's office in Brooklyn.
The Department of Health and Human Services has launched the Federally Qualified Health Center Advanced Primary Care Practice demonstration project, an Affordable Care Act initiative that will pay an estimated $42 million over three years to as many as 500 health centers to coordinate care for Medicare patients.
Leaders of the Campaign for Better Care (CBC), a broad-based coalition of consumer organizations, recently submitted comments on the proposed ACO rule, commending the federal government for putting patients first.