Reimbursement
Despite the drive towards value-based payment models, physicians are bringing in $1.56 million each in inpatient and outpatient fee-for-service revenue to hospitals, according to a survey by AMN Healthcare subsidiary Merritt-Hawkins, a slight increase of $112,230 over 2013.
Marketplace premiums rose by 8 percent last year, well below the double-digit rise predicted by some observers of Obamacare, according to a Department of Health and Human Services report released Tuesday.
The Mental Health Parity and Addiction Equity Act of 2008 requires most health plans to provide mental health and substance abuse treatment benefits that are at least as generous as the plan's benefits for medical and surgical care.
Executives at University of Rochester Medical Center are so pleased with how the federal government's bundled payment joint replacement program is working that they want to expand it beyond Medicare, James Garnham, who heads bundled payments for the system, said Monday at a hearing on Capitol Hill.
The Centers for Medicare and Medicaid Services on Monday launched a new risk-based primary care initiative that it hopes will accelerate the movement towards value-based reimbursement for medical practices.
At least this far in, the fears of massive claims rejections, crashing cash flows and full-blown chaos were largely unfounded.
As cyberattacks of healthcare systems become more frequent and call attention to the question of whether sensitive data is secure, the Government Accountability Office has released a report identifying significant weaknesses at three selected state-based marketplaces: California, Kentucky and Vermont.
UnitedHealth Group has decided to quit the exchange market in two states, Georgia and Arkansas, according to published reports Friday.
The largest increase in the number of insured adults has occurred among those paying for a plan themselves, according to Gallup.
Moving into a realm usually reserved for healthcare regulators, the California health marketplace Thursday unveiled sweeping reforms to its contracts with insurers, seeking to improve the quality of care, curb its cost and increase transparency for consumers.