Reimbursement
UnitedHealthcare and the University of Texas MD Anderson Cancer Center are piloting an episode of care, or bundled, payment model for patients being treated with head and neck cancers, a collaboration they describe as among the first to use bundled payments in a large, comprehensive oncology center.
The nation's largest insurer is starting a new bundled payment pilot in oncology with one of the most prestigious providers in the field, in an experiment they hope will be yield beneficial evidence and grounds for expansion.
Earlier this month, CMS published a final rule that expands the circumstances under which it may deny or revoke the Medicare enrollment of entities and individuals on program integrity grounds. Here are the details.
One of the nation's largest health systems is struggling with its new health insurance business, leading to the first loss in 15 years.
Whether to cancel a company health insurance plan and let workers buy insurance on the online exchanges is an issue that arises for every small-group employer. But businesses shifting workers into the individual exchanges tend to be the very smallest.
Once in a while, a key voice in the reform movement turns out to be a skeptic, arguing that the changes being implemented are too prone to producing more of the same.
Poverty continues to have an effect on repeated hospitalizations -- a situation that threatens to cost health systems in higher Medicare readmissions penalties if post-discharge plans are not established.
Consumers shopping on the health insurance marketplaces will find many plans with out-of-pocket spending limits that are lower than the maximums allowed under the health law, according to an analysis by Avalere Health.
The latest salvo in the pharmaceutical price wars is being launched from an unlikely outpost, but one that represents the struggle to pay for the year's most successful drug.
If hospitals are required to record unique device identifiers (UDIs) in electronic health records, there will be a need for supply chain involvement. But what that involvement should look like--and when--is still unknown.