Reimbursement
Hospitals can retain their autonomy while gaining the efficiency and scale benefits of a merger.
Lost patient volume, deferred elective procedures and the relocation of residents are all contributing factors.
Employers are seeking bundled payment assistance with help from a start-up that makes suggestions about surgery options based on analyzed data.
Most patients who are in the emergency department belong there and insurers should cover those visits, says the American College of Emergency Physicians.
The Food and Drug Administration on Wednesday approved acute lymphoblastic leukemia treatment Kymriah, that comes with a $475,000 price tag.
AHA is concerned with the underlying data used to determine the DSH payments.
The health plan failed to comply with a corrective action plan and it did not meet additional deadlines to submit the required data, California officials said.
High performing ACOs maintained a high use of primary care services and reduced spending by an average of $673 per beneficiary.
Imaging services can be as safely provided, and cost less, at freestanding facilities, Anthem says.
Anthem-affiliated health plans are limited to seven days for the initial prescription for short-acting opioids.