Reimbursement

Physician practices have the lowest revenue growth in the healthcare industry. When every dollar counts, anything from a lost referral to a bad online review can impact profitability. Here are some common revenue leaks and tips on plugging them.

How did one large employer keep its healthcare costs flat for six years? A wide-ranging wellness program, provider bidding and "enlightened consumerism."

Health systems as well as independent providers have an opportunity to drive best practices in specialty care and secure sustainable revenue with a new business and care model.

Some health systems see value in becoming part of branded health plan networks for limited provider plans, as other providers try to launch their very own plans.

Some health systems are seeing value in becoming part of branded health plan networks for limited provider plans, as other providers try to launch their very own plans.

With an improving fiscal climate, some states are paying their Medicaid providers more. More states are increasing fees to specialists, nursing homes and managed care organizations, but 31 states were cutting or freezing Medicaid hospital rates, compared to 19 that were increasing them.

Tech giant Google is trying out the telehealth waters with a video-based platform that connects consumers searching online for health data with physicians.

It's almost game day for the second season of ACA insurance exchanges, and insurers need to get ready to handle all sorts of consumer inquiries and administrative tasks.

The competitiveness of America's state and regional health insurance markets is once again under question as patients and providers demand greater value propositions from payers.

The Centers for Medicare and Medicaid Services recently released more detailed ACO-level data for participants for the first two years of the Pioneer ACO Model. Despite the decline in participation and mixed results so far, upcoming regulatory may help.