Reimbursement

Insurance companies are faced with myriad challenges in today's market, not the least of which is finding how they will both upgrade their IT infrastructure and organizational capabilities in order to effectively execute new payment models. To help organizations develop a solid framework for these changes, enterprise-class software company HealthEdge will present a session, "Five Steps to Market Reinvention: Supporting ACOs, Exchanges and Other Reform Initiatives," at 7:00 a.m. on Friday at AHIP's Institute 2012.

The American Medical Association's fifth annual National Health Insurer Report Card shows that the number of medical claims paid incorrectly by the nation's largest health insurers was cut in half last year, down to 9.5 percent of claims.

The American Medical Group Association (AMGA) and Press Ganey Associates have launched a new survey tool designed to help accountable care organizations (ACOs) improve efficiency, quality and the patient's experience.  

Acting CMS administrator Marilyn Tavenner and other healthcare leaders discuss how the industry is dealing with the practical issues of establishing ACOs at the Third National Accountable Care Organization (ACO) Summit in Washington, D.C., June 6-8.

It's going to take more healthcare reform for productivity gains to show up from HIT adoption, according to a new report.

Regina Doxtader - CFO, Botsford Health Care, Farmington Hills, Michigan

Between 2011 and 2021, national health spending is projected to grow at an average rate of 5.7 percent annually, according to projections set forth in a study done by the Centers for Medicare and Medicaid Services' National Health Expenditure Accounts Team and published in the July issue of Health Affairs.

With the Supreme Court expected to make a ruling within the next two weeks on key provisions of the Affordable Care Act, UnitedHealthcare, Humana and Aetna have agreed to continue offering certain provisions of the law, regardless of its legal fate.

According to a report released Friday by Standard & Poor's Ratings Services, the ratings agency believes there could very likely be a net negative for for-profit hospitals with the full implementation of the Patient Protection and Affordable Care Act.

With the Supreme Court's decision on the Affordable Care Act (ACA) expected by the end of this month, more and more policymakers, healthcare experts and stakeholders are becoming vocal about their predictions of the outcome.