Reimbursement

Doctors face significant reimbursement cuts unless Congress take action.

2010 was a tough year to be a state Medicaid director.

Blue Cross and Blue Shield of Minnesota has launched a "shared incentive" payment model with four of Minnesota's largest care systems. The model modifies fee-for-service payments to reward quality of care and innovative methods of delivering cost-effective care.

The Wisconsin Health Information Organization is working with the Centers for Medicare and Medicaid Services to release CMS' Medicare data and add the information to its WHIO Health Analytics Exchange, according to executive director Julie Bartels.

The RACs officially rescinded some reviews in the past few weeks, even after having completed complex reviews including the issuance of denial letters to the providers for the claims reviewed.

Two Kentucky-based companies, Humana and Norton Healthcare, are launching the region's first commercial Accountable Care Organization.

Congress on Monday agreed to a reprieve of scheduled 23 percent Medicare pay cuts to physicians that would have started December 1. The measure means reimbursement levels will go untouched until January 1.

A pilot program being conducted by the Department of Veterans Affairs is testing whether using a private contractor to collect healthcare records from private physicians can speed the processing of veterans' disability compensation claims.

Pittsburgh-based Highmark will offer a childhood obesity prevention benefit to its members starting in 2011 in collaboration with the Alliance for a Healthier Generation, a program that is expected to help about half a million children.

A new study from the Office of the Inspector General has discovered that Medicaid may be paying for drugs it shouldn't.