Patty Enrado
Two out of every three hospitals in Illinois lose money on core patient services, while one out of three hospitals loses money on its operating margin and only 2.1 percent have an average operating ma...
Health plans are enjoying healthy profits across the board, reporting robust third quarter earnings. Increased Medicare enrollment, streamlined operations and opportunities in the...
For the second year in a row, the Centers for Medicare and Medicaid Services has reported a reduction in improper Medicare claims payments as a result of increased oversight. The l...
Computer Sciences Corp. has signed on to develop an IT data warehouse for Care Focused Purchasing, a not-for-profit entity comprising more than 50 employers and seven national and regional health plan...
The Centers for Medicare and Medicaid Services has saved $2 billion in Medicare claims, thanks to its fraud and abuse initiatives. CMS’ efforts have been “extremely eff...
Several major carriers are incorporating enrollee-reported health risk assessments, or HRAs, into their care or disease management programs to garner a more complete picture of their care needs....
While Computer Sciences Corp.'s Blue Health Intelligence data warehouse has been deployed at only three Blues plans since July, the industry is beginning to recognize the benefits this type of warehou...
As the bill for advanced imaging modality procedures rises, payers are asking for pre-authorization of scans in radiology management programs to address high costs and ensure that those services are n...
Major banks continue to see healthcare as a growing business opportunity. In mid-August, Mellon Working Capital Solutions introduced its automated revenue cycle management solution fo...
The Society of Thoracic Surgeons is involved in discussions with other payers after announcing a partnership with WellPoint to deliver performance data for WellPoint's pay-for-performance program in m...