Reimbursement
Acting CMS Administrator Marilyn Tavenner and other CMS officials announced on Monday that states which embark on a partial expansion of their Medicaid systems would not qualify for the full 100 percent funding under the Affordable Care Act's Medcaid expansion provision.
In this week's HIX Digest: Vetoes and defaults, Republicans question United tech acquisition, state of EHBs and the open source option.
Oregon was an early health insurance exchange innovator, receiving federal funding to design the website and IT system before the exchange -- now called Cover Oregon -- was even established by the legislature.
Jeffrey Brenner, MD, is on a mission to improve the quality and cost of healthcare delivery in his community. He is particularly focused on "super-utilizers," the segment of the population that uses a disproportionately high amount of hospital and ER services. Brenner spoke recently with Healthcare Finance News Editor Rene Letourneau about his research and his views on the nation's failing healthcare systems.
Saying the federal government hasn't done enough to provide concrete parameters for establishing health insurance exchange, Gov. Chris Christie on Thursday vetoed state legislation that would have created a state-run HIX in New Jersey.
Only a fraction of Californians with consumer-directed health plans knew their policies included free or low-cost preventive visits and tests, according to a survey by Kaiser Permanente researchers.
The survey also found many consumer-directed plan holders largely misinterpreted certain arrangements of their deductibles.
New premium taxes assessed on health plans in 2014 could lead to average annual premium increases of about $200 a person and could cause two to three percent increases in premium costs across the country, according to a report by the consulting firm Oliver Wyman.
A new study reveals that financial risk plays a role in underuse of hospice care in the United States.
Employee wellness plans can be great cost savers for both health insurance companies and employers in the long run, but with new proposed rules and regulations around wellness plans set to begin on Jan. 1, 2014, employers and insurers are going to have to be careful about following more legal requirements.
Americans can shop online for pizza, hotel reservations and lots of other goods and services, so why not for medical procedures as well?