Reimbursement
The data is used to judge physician performance and hospital performance, often driving managerial decisions such as compensation and employment.
Insurer follows move by Aetna and CVS to elbow into provider space, better manage population health and lower costs with its Kindred acquisition.
Tax reform bill eliminates Affordable Care Act mandate; opponents fear cuts to Medicaid, Medicare.
As support for single-payer healthcare climbs in the U.S. researchers question the pros and cons of both systems.
In a pilot program at the San Francisco Health Network affiliates, coordinating care with basic email lowered readmission rates by 58 percent.
Pharma giant allegedly billed government payers for medications that were never shipped, or were returned, and paid kickbacks to beneficiaries, the DOJ said.
Clinicians need technical assistance and greater program integrity to keep QPP from risk of fraud and improper payments, according to the Office of the Inspector General.
The platform uses blockchain and secure computation to allow payers, providers and life science companies to engage in patient-centric value-based contracts.
Going into the final days of open enrollment, more than 4 million people have selected plans, but CMS says many will fail to keep their coverage.
USC researchers say tool could be used to create an objective method for evaluating surgeon proficiency with implications for patient satisfaction and reimbursement.