Reimbursement
The Centers for Medicare and Medicaid Services will have to manage and analyze double the volume of Medicare data and triple the terabytes of Medicaid data after health reform is fully in place.
One of several private health insurance exchanges that has evolved over the past several years, Buffalo-based benefits exchange company Liazon garnered some attention recently when it was ranked number 132 on the Inc. 5000 list of fastest growing companies.
The average premium for family health plans sold through eHealthInsurance.com was $412 a month in 2012, down slightly from 2011, amid "a relative flattening of the cost curve," eHealth Inc. CEO Gary Lauer said.
In a new study published in the Journal of General Internal Medicine, it was found that after examining patients suffering from pneumonia and heart failure, a broad range of social factors affect the risk of post-discharge readmission and mortality.
BayCare Health System in Clearwater, Fla., has agreed to pay over $10.1 million to the federal government to resolve allegations that the health system violated the False Claims Act announced the U.S. Justice Department (DOJ) last week.
A new report indicates that while U.S. primary care physicians still trail their counterparts in other countries in their use of electronic medical records (EMRs), they are making progress and are finding more efficiencies through EMR use.
In this week's HIX Digest, the tab for Minnesota's exchange is growing; Oregon takes public comment on proposed rules; and IT vendor Connecture unveils a plan management module for regulators.
The Centers for Medicare and Medicaid Services has named the first three participants in a program aimed at helping consumers get performance data of physicians and hospitals in their local market.
Covered California, the state-based health insurance exchange, plans to be financially self-sufficient by 2017 -- a goal all the more pressing in a state with some $617 billion in government debt.
As many as 31 million Americans now receive healthcare through an accountable care organization (ACO) according to a recent report "The ACO Suprise" from industry consulting company Oliver Wyman.