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Reimbursement

By Healthcare Finance Staff | 01:19 pm | October 08, 2013
Humana Inc. is testing the use of an enhanced medical alert system with its Medicare Advantage members to prevent serious long-term effects of medical emergencies and falls.
By Healthcare Finance Staff | 12:01 pm | October 08, 2013
Amid what the Kaiser Family Foundation calls "some of the most significant changes to Medicaid since its enactment," California Medicaid policy is evolving at perhaps the quickest pace, trying to manage the $55 billion in annual spending.
By Healthcare Finance Staff | 11:53 am | October 08, 2013
The quality of care that patients receive in a hospital varies by the type of insurance they have or their lack of insurance, researchers have found in a study in the latest issue of Health Affairs.
By Healthcare Finance Staff | 09:14 am | October 08, 2013
Predicting anything in healthcare is difficult, but one factor is a fairly good indicator of whether providers joined a Medicare accountable care organization: integration.
By Healthcare Finance Staff | 04:16 pm | October 07, 2013
The growth in Medicare per capita spending is slower as a result of fewer hospital readmissions and a shift to generic prescription medications, and Medicare Advantage plans are also beginning to contribute to the moderating trend.
By Healthcare Finance Staff | 03:56 pm | October 07, 2013
Even as access to behavioral and mental healthcare expands under health reform, there may still be gaps in both public and private insurance, researchers said in a new Health Affairs study.
By Tammy Worth | 11:44 am | October 07, 2013
After almost a year of preparation, 450 healthcare organizations will begin taking part in Medicare's Bundled Payments for Care Improvement initiative this month. The goal is to evaluate if paying for care by episodes can improve quality and reduce Medicare's costs.
By Healthcare Finance Staff | 11:44 am | October 07, 2013
After almost a year of preparation, 450 healthcare organizations begin taking part in Medicare's Bundled Payments for Care Improvement initiative this month. The goal is to evaluate if paying for care by episodes really can improve quality and reduce Medicare's costs.
By Healthcare Finance Staff | 09:14 am | October 07, 2013
Most patient consumers set to become newly insured under the Affordable Care Act (ACA) will see a decrease in out-of-pocket expenses, a new study from the RAND Corporation found.
By Healthcare Finance Staff | 10:15 am | October 04, 2013
Cigna is partnering with SocialWellth, a Las Vegas-based digital health company, to offer a platform to connect with members and deliver appropriate health and wellness digital content to them.