Reimbursement

The bill proposes to increase payment accuracy, encourage physicians to adopt proven practices, supply doctors with data to improve care, and, for patients, to make Medicare more transparent by them more access to information.

Here are ten steps payers and providers can take today to speed their ability to align with value-based models. With a new vallue-based imperative from CMS, there’s simply no time left to delay.

This isn't just theoretical. I was approached by a consultant representing large U.S. employers who were exploring pharmacy tourism that would send patients abroad for their drugs.

Another cooperative insurer is boasting about low premiums attracting droves of new exchange members, raising questions about long-term viability in the wake of CoOportunity's liquidation.

The new proposal will repeal the current Sustainable Growth Rate and institute a 0.5 percent payment update each year for five years.

Highmark is expanding a low-cost approach to colon cancer screening that could help increase early detection while also avoiding the discomfort of invasive scoping and high treatment costs.

While Congress weighs the sustainable growth rate repeal, insiders have taken to Twitter to voice support for the overdue change.

Insurers in New York are agreeing to reform their policies for behavioral healthcare treatment and rehabilitation coverage, after an "unprecedented enforcement effort of mental health parity laws."

It turns out that most providers who prescribe antipsychotic medications are not psychiatrists.

At issue is whether the company is doing anything different from its for-profit competitors to warrant its tax break.