Reimbursement
A former advisor to President Barack Obama is warning healthcare providers to embrace bundled payments as accountable care organizations fall behind in reaping savings from value-based payment models.
It used to require hundreds of thousands of patients taking a drug to make it blockbuster. But over the last decade drug companies have figured out that they can get to $1 billion in product sales with much smaller populations. The key: sky-high prices.
Administrative bloat may not be the main cost-driver, but the chronic disease problem won't be controlled until administrators, insurers, Medicare and Medicaid simply get out of the way of primary care physicians.
The Centers for Medicare and Medicaid Services on Wednesday proposed a new rule that would reimburse doctors for end-of-life counseling, the very kind of practice that led to the heated “death panel” debate before the Affordable Care Act was passed.
Women are saving a lot of money as a result of a health law requirement that insurance cover most forms of prescription contraceptives with no additional out-of-pocket costs. But the amount of those savings and the speed with which those savings occurred surprised researchers.
There is little question that healthcare payers, like all healthcare organizations, have mounting challenges when it comes to meeting regulatory compliance standards developed to improve the security, clarity and transparency of healthcare insurance information.
The conversation regarding rising healthcare costs in the U.S. continues to swell with tension and uncertainty. Why do U.S. healthcare costs continue to climb at rates far outpacing other industries?
Trying to bring affordable, painless lab tests to the masses, Theranos is breaking into a new market in collaboration with one of Pennsylvania's major insurers.
The testing company that could upend America's diagnostics market will partner with Capital BlueCross in Harrisburg, Pennsylvania, to bring the company's new direct-to-consumer blood testing options to the insurer's 1.3 million members.
The study, in the July issue of the policy journal Health Affairs, found that the average birth control pill user saved $255 in the year after the requirement took effect.