Reimbursement

Short-term limited duration plans will increase premiums by as much as 12.8 percent and decrease enrollment by as much as 26.3 percent, new research says.

The Healthcare Transformation Consortium is also going to use data to lower costs and improve care delivery -- but, while Amazon's plans are still not widely known, six New Jersey hospitals are girding to go-live on Jan. 1, 2019.

The shift from fee-for-service to value-based care means providers are facing new challenges. A rev cycle executive offers advice about tightening processes to overcome those.

The Centers for Medicare and Medicaid Services published the final rule late Monday and it is aimed at increasing coverage through health plans that have lower premiums, and giving insurers more flexibility in designing essential health benefits.

In Las Vegas, four are open and operational and Dignity is developing a 5th site slated to open in 2019.

Prior to the program's start, there was evidence that black patients had, on average, 20 percent higher readmission rates than white patients.

MA star ratings improvements can help plans expand their share of an increasingly saturated market.

Paying hospitals a fixed global budget reduced their prices but individual physicians continued to be paid on a fee-for-service basis.

The number remained high even as the agency cut costs for the most cost effective and successful open enrollment to date, CMS says.

The integrated provider-payer network is expected to grow as Lumeris builds a network of physicians and hospitals outside of the BayCare system.