Reimbursement
When President Obama addressed massive problems with the federal health-insurance exchange website last week, he couldn't cite any actual enrollments in health plans offered through the site.
The board of WellCare Health Plans is looking for a new CEO, and is hoping to find someone to expand Medicaid and Medicare managed care.
Covered California, the state's public health insurance exchange, has removed one of its 12 health plans from the site, effectively barring consumers from selecting the insurer until further notice.
By noting potential industry headwinds in credit rating agencies' median reports, hospitals can attempt to stay one step ahead of the ever-changing landscape when trying to navigate these difficult times.
The Treasury Department is relaxing the Internal Revenue Services' 29-year-old "use-it-or-lose-it" rule for health flexible spending arrangements, a gesture to businesses from the Obama Administration amid health reform's insurance upheaval.
Two key congressional committees have agreed on a framework to scrap the problematic Medicare Sustainable Growth Rate, or SGR, payment formula for physicians and replace it with one that would link physician reimbursement to the quality of care provided.
The Aetna Medicare plan serving Maine and Security Health Plan's Medicaid product in Wisconsin, both highly ranked by the National Committee for Quality Assurance, offer examples of using quality measures to improve care coordination, case management, payment for value, and member satisfaction.
The Democratic and Republican leaders of two key congressional committees have agreed on a framework to scrap the problematic Medicare payment formula for physicians and replace it with one that would link physician reimbursement to the quality of care provided, a step that could put an end to the annual "doc fix" debate.
The Affordable Care Act cuts Medicare price growth. But if hospitals respond by increasing the amount of care provided, the potential cost savings from price restraint may be lost.
Cigna raised its full-year outlook after a third strong quarter, although the company's executives and investors are worried about sustaining earnings from Medicare Advantage, which saw high quarterly claims costs.