Reimbursement
Health insurance carriers have been on the minds of lawmakers, consumers and federal officials over the past month.
Marin General Hospital, a 235-bed acute care hospital in Greenbrae, Calif., has filed suit against Sutter Health to recover more than $120 million.
Annual performance-based incentive plans are on the rise for physicians, according to a recent survey of provider organizations.
In an effort to increase understanding of the tax and grandfathering provisions of healthcare reform, WellPoint Inc. recently launched two new online tools to help business owners understand the implications of these provisions with their current health plan.
The Integrated Healthcare Association (IHA), a statewide leadership group that promotes quality improvement, accountability and affordability of healthcare in California, has named its top 45 performing physician organizations for 2009, based on the IHA statewide Pay for Performance (P4P) program measures.
In 2014, under the Medicaid Expansion provision of the Patient Protection and Affordable Care Act (PPACA) approximately 20 million uninsured Americans will qualify for coverage under the state-run program. The devil is in the details.
Acquiring and retaining the best risk, meeting the 80 percent medical loss ratio and establishing cost-effective distribution channels and working with exchanges are top priorities of executives of health insurance companies, according to a recent survey.
A New York has granted final approval to a $350 million settlement between the American Medical Association and the UnitedHealth Group, giving doctors just one day file claims to share in the fund.
Alisa Ray, executive director of the Certification Commission for Health Information Technology, said Friday that CCHIT doesn't foresee a backlog of any kind in accommodating testing for meaningful use certification.
California's critical-access, rural hospitals got a big boost when UnitedHealth Group announced it would provide $10 million in loans to help them adopt electronic health records and improve their health IT systems, and $1 million in grants to jumpstart the process.