Reimbursement
Public hospitals can be among the most aggressive in collecting debts from poor patients, not only garnishing their wages, but cleaning out their bank accounts.
After a debut of health insurance marketplaces that fit all of the worst government contracting stereotypes, CMS has found a lead contractor to try to improve exchanges into the next decade.
When Healthcare Finance last year asked experts to name the top industry trends, they selected insurance exchanges, mergers and acquisitions, new payment models, and technology. Things don't look much different in 2015.
Will any of the new federally-backed cooperative insurers survive? To pro-business advocates skeptical of the Affordable Care Act in general, they are doomed and should be.
Many insurers are adopting comprehensive telehealth coverage, setting the ball rolling for others to follow suit.
Of all the new cooperative insurers, the one led by a Blue Cross veteran attracting droves of exchange and employer members might seem the least likely to fail. Now the success of every co-op will be in question.
As 2014 winds down, we've taken a look back at some of the biggest stories in healthcare finance in the past year. See what you may have missed.
The bonus boosted pay rates for primary care doctors who saw Medicaid patients to the same level as they are paid by Medicare.
The number of accountable care organizations in Medicare's Shared Savings Program will grow by 89 in January 2015, the Centers for Medicare and Medicaid said this week, boosting the total participants to 405. Medicare ACOs will now serve more than 7.2 million patients.
In the war for affordably treating the hepatis C liver virus, pharmacy benefits managers are fighting back now that alternatives are becoming available.