Reimbursement
Inconsistent Medicare Part B local coverage determinations (LCDs) create disparities in Medicare beneficiary access to items and services, a recent OIG report concludes.
South Carolina's Department of Health and Human Services has unveiled a new healthcare transparency website, offering digital tools state that officials hope will empower consumers and hold providers and health plans accountable.
The Congressional Budget Office has raised the specter that reform to the Medicare physician fee schedule statutory update formula could increase the likelihood that the ACA's Independent Payment Advisory Board mechanism would be triggered potentially resulting in as much as $0.6 billion in Medicare provider cuts.
A new study of insurance claims at 110 hospitals found that facilities with the highest prices tended to have the strongest reputations and tight holds on their local markets yet showed little evidence of providing better quality care.
Covered California has unveiled health plan quality ratings to help guide insurance shoppers, ahead of most other states and the federal government.
WellPoint reported that fourth-quarter 2013 earnings fell nearly 68 percent on higher costs related to the sale of its contact lens business, but revenues rose on increased use of medical services towards the end of the year.
A U.S. district court judge ruled in favor of the Federal Trade Commission in an antitrust case that may shape the future of hospital acquisitions of physician groups.
With Maryland Health Connection's website still dysfunctional, the exchange's board is turning to traditional and online brokers to salvage the public marketplace program.
A survey of Medicare ACOs after their first year in operations suggests that all parties, government and private sector health organizations, have improvements to make in the coming years, especially when it comes to sharing data.
Mississippi Gov. Phil Bryant is hoping to better control his state's diabetes epidemic with a new telehealth initiative, launching a public-private partnership to treat at-risk patients in underserved areas.