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Reimbursement

By Susan Morse | 02:13 pm | September 11, 2015
Enrollment figures released this week by the Centers for Medicare and Medicaid show close to 10 million people have signed up for insurance through the Health Insurance Marketplace, as of June 30. CMS said 9.9 million individuals had paid their premiums and had an active policy by the end of June.
By Healthcare Finance Staff | 02:02 pm | September 11, 2015
As a Standard & Poor's report finds many insurers are missing the mark on their risk-adjustment predictions, a new partnership between population health management consultant Evolent Health and Health Fidelity, which develops technology to steer providers towards value-based care, aims to fill the gap.
By Susan Morse | 09:54 am | September 11, 2015
As a Standard & Poor's report finds many insurers are missing the mark on their risk-adjustment predictions, a new partnership between population health management consultant Evolent Health and Health Fidelity, which develops technology to steer providers towards value-based care, aims to fill the gap.
By Kaiser Health News | 08:54 am | September 11, 2015
In a stark departure from the past, the vast majority of the country's medical schools now integrate discussions of cost, value and effectiveness into their curricula.
By Erin McCann | 11:15 am | September 10, 2015
New York health plan Excellus BlueCross BlueShield on Wednesday said it was a victim of a cyberattack that affected 10.5 million beneficiaries. Even worse, the plan said hackers had access to information systems for more than a year and a half before the health plan even noticed the cyberattack had occurred.
By Healthcare Finance Staff | 03:06 pm | September 08, 2015
California legislators passed a bill postponing a controversial plan that would have shifted tens of thousands of medically fragile children into Medi-Cal managed care plans.
By Healthcare Finance Staff | 03:06 pm | September 08, 2015
Managed care company Molina Healthcare said it will pay $200 million for the remaining stakes in two subsidiaries of The Providence Service Corp.
By Healthcare Finance Staff | 10:58 am | September 04, 2015
The long-awaited rules from the Office of Civil Rights in the Department of Health and Human Services further define protections included in the Affordable Care Act, particularly broadening those for transgender Americans.
By Healthcare Finance Staff | 10:56 am | September 04, 2015
Even when a natural disaster doesn't force a hospital to shut its doors, unexpected catastrophes can disrupt operations and finances.
By Healthcare Finance Staff | 10:56 am | September 04, 2015
The Marketplace Navigator grants only apply to groups in the 34 states that run federal exchanges.