Reimbursement

The Congressional Budget Office has projected that repeal would increase premiums by 10 percent.

The insurer signed up 250,000 new Medicare Advantage members during the first quarter.

Providers that earn CDC-certification for type 2 diabetes prevention can earn payments for treating patients that might not otherwise come in for screening.

In order to change the way care is delivered, an individual outfit needs to have a sufficient percentage of its practice in a value-based world. That balance can be tricky but hospitals won't succeed without it.

Rule eases regulatory burden estimated to cost providers $39 billion a year and the time of 59 full-time equivalent employees.

As Humana and the AMA this month announced new alternative payment models focusing on patient experience and outcomes, Blue Cross Blue Shield shared data showing what's working in its own efforts.

One hospital lost $3.5 million in a single year dealing with rising infection rates among patients taking cocaine, OxyContin, Demerol, Percocet and other opioids.

Compensation is determined by measures that address healthcare-associated infection rates, care coordination, palliative care and more.

Net income increased 30 percent driven by premium rate increases, the return of the health insurance tax and the acquisition of Medicare Advantage plans HealthSun and America's 1st Choice.

The Centers for Medicare and Medicaid Services effort to reduce regulatory burdens are being warmly received -- but the industry appears less excited about stipulations concerning price transparency and patient access to EHR data.