Reimbursement
Aided by its electronic health record system, Kaiser Permanente of Georgia has the highest breast cancer-screening rate for eligible women ages 42 to 69 among the health plans reporting to the National Committee on Quality Assurance (NCQA).
Americans' confidence in their ability to obtain and afford healthcare rose for the second consecutive month in September, according to a consumer sentiment index produced by Thomson Reuters.
Six Fortune 500 companies and Massachusetts have launched Catalyst for Payment Reform, a non-profit organization focused on helping large employers use their leverage to accelerate healthcare payment reforms.
"Is HITECH working?" That was the question posed by Vince Kuraitis, principal of Better Health Technologies, at the Mobile Health Expo in Las Vegas on Wednesday.
Among the many compromises in the Patient Protection and Accountable Care Act (PPACA) is the prohibition against using quality-adjusted life years (QALYs) for coverage, reimbursement or incentive programs. The idea, presumably, is to repel the suggestion that PPACA enables "rationing" or death panels.
The Department of Justice has filed a civil antitrust lawsuit against Blue Cross Blue Shield of Michigan, alleging that provisions of its agreements with hospitals raise hospital prices, prevent other insurers from entering the marketplace and discourage discounts.
Massachusetts’ Connector, operational since 2006, is the prototype for PPACA’s insurance exchanges. Connector boosters have claimed it is a vital and successful part of Massachusetts’ health care reform; its critics have noted its failure to influence either benefit or administrative costs or to attract significant enrollment. However, whether success or failure, the Connector offers lessons for other states.
The Department of Justice has filed a civil antitrust lawsuit against Blue Cross Blue Shield of Michigan, alleging that provisions of its agreements with hospitals raise hospital prices, prevent other insurers from entering the marketplace and discourage discounts.
The nation could save about $3.5 trillion over the next 25 years by expanding coordinated care programs in Medicare and Medicaid, according to a new analysis by the UnitedHealth Group's Center for Health Reform & Modernization.
Washington State Insurance Commissioner Mike Kreidler has ordered Regence BlueShield to stop denying insurance coverage to children.