Reimbursement
Risk adjustment transfers funds from issuers with low risk to plans with high actuarial risk.
Lower-than-expected enrollment in the new insurance exchanges, and significant insurer losses, have resulted in substantial premium increases and insurer withdrawals from state markets.
Blue Cross and Blue Shield of Minnesota projects a $500 million loss.
The new company will be able to offer health plans and providers a comprehensive suite of end-to-end financial and payment solutions and technologies, according to a McKesson statement.
The new brand offers a single enterprise solution that include analytics, consulting, health information management and revenue cycle management.
The new platform claims to offer a complete physician workflow and analytics tool that helps providers track the data that's so important for succeeding in value-based reimbursement.
Running its own health plan has allowed this Wisconsin system to design a homemade value-based reimbursement model.
Higher numbers of payers and practice managers coming to the show, underscoring the need for collaboration in the face of volume-to-value shift.
DeKalb Physician Hospital Organization and UnitedHealthcare have jointly launched an accountable care program that will dedicate more resources to coordinating patient care and making it easier to share health information, the two announced Thursday.
The Republican's answer to Obamacare includes a proposal to set state caps on Medicaid financing, a plan that could shift costs to states, providers and beneficiaries, according to a Kaiser Family Foundation report released Wednesday.