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Reimbursement

By Healthcare Finance Staff | 11:23 am | November 08, 2011
A new study from Rand Corp. of the PROMETHEUS Payment project shows that bundling payments to providers as a means to cut healthcare costs is proving harder to accomplish than originally anticipated.
By Chris Anderson | 10:53 am | November 08, 2011
Bundling payments to providers as a means to cut healthcare costs is proving harder to do than originally anticipated, according to a new study from non-profit research organization Rand Corp.
By Mike Miliard | 11:02 am | November 07, 2011
HMS Holdings Corp. announced Monday that it will acquire HealthDataInsights, the Medicare recovery audit contractor for Region D, for approximately $400 million.
By Healthcare Finance Staff | 10:51 am | November 07, 2011
HMS Holdings Corp. announced Monday it will acquire privately held HealthDataInsights, which identifies and recoups improper payments for health plans and government payers, for approximately $400 million.
By Chris Anderson | 10:49 am | November 07, 2011
A one-year-old accountable care organization established by Allina Hospitals & Clinic and payer HealthPartners has reported that it reduced medical cost by $6 million in 2010 and reduced the medical cost trend to 3 percent compared with 8 percent in 2009.
By Chris Anderson | 01:08 pm | November 04, 2011
Partners HealthCare, a nine-hospital health system with 1,800 primary care physicians and more than 6,000 specialists, has agreed to join Blue Cross Blue Shield of Massachusetts' Alternative Quality Contract (AQC) global payment model beginning Jan. 1, 2012.
By Mary Mosquera | 12:51 pm | November 04, 2011
Federal bundled payments efforts promise providers a share in savings for improved quality and lower costs, but it will likely take the squeeze in fee-for-service Medicare payments to drive many providers to participate.
By Chris Anderson | 12:47 pm | November 04, 2011
Georgia state officials are planning to implement a little-known provision of the Affordable Care Act allowing states to move the children of state employees onto the Children's Health Insurance Program, something only a handful of states have done so far.
By Healthcare Finance Staff | 11:05 am | November 04, 2011
Louisiana Health Care Quality Forum (LHCQF) and Orion Health, Inc. announced Friday the launch of LaHIE, Louisiana's statewide health information exchange.
By Chris Anderson | 10:57 am | November 04, 2011
Humana Inc., one of the largest managed care organizations in the country has named McKesson executive Bruce D. Broussard as president and announced a succession plan that would see Broussard ascend to CEO at the retirement of current Chairman and CEO Mike McCallister, expected in the next 12 to 18 months.