Reimbursement
When looking back at the the biggest news in healthcare in 2015, an informal survey of Healthcare Finance readers found no other contender even came close to defeating ICD-10 for the reign of top issue of the year.
Blue Cross Blue Shield of Arizona and Tenet Healthcare have come to a four-year deal that allows Carondelet Health Network and Abrazo Community Health Network to remain part of the local network in 2016, according to the local Blue Cross Blue Shield of Arizona.
Blue Cross Blue Shield of Arizona and Tenet Healthcare have come to a four-year deal that allows Carondelet Health Network and Abrazo Community Health Network to remain part of the local network in 2016, according to the local Blue Cross Blue Shield of Arizona.
Health plans reimbursed customers approximately $478 million in 2014, translating to about $129 per family receiving a refund, according to data aggregation firm Mark Farrah Associates.
Six million renew plans while 2.5 million are newly insured through marketplace.
Sixty percent return to Healthcare.gov for coverage.
A pre-authorization process for certain medical supplies has worked to bring down costs in sample studies and will help prevent questionable billing practices.
The state of Maryland is proposing significant changes to how its Medicaid system doles out cash to methadone treatment clinics.
The clinical director of a Massachusetts home nursing agency, along with the agency's co-conspiring owner and doctor who served as the agency's medical director, have been sentenced in U.S. District Court in Boston for healthcare fraud and other charges in a multi-million dollar Medicare fraud scheme, the FBI and U.S. Attorney's office announced in a Dec. 22 statement.
The state of Maryland is proposing significant changes to how its Medicaid system doles out cash to methadone treatment clinics. And some operators of such facilities aren't happy about it.