Reimbursement
Much of the marketing to potential enrollees of health insurance exchanges has been conducted by health insurers and other organizations advancing the marketplaces, but health systems have a role to play in signing up individuals that could also benefit their bottom line.
A group of physicians hoping to offer new imaging and colonoscopy services in Virginia are facing an uphill battle trying to overturn the commonwealth's "certificate of need" law.
The Centers for Medicare & Medicaid Services issued a final rule on Medicaid payments to disproportionate share hospitals last week, cutting approximately $1.1 billion from the program over the next two fiscal years.
The Internal Revenue Service has issued final regulations to implement the ACA requirement that every individual have basic health insurance coverage, qualify for an exemption, or make a "shared responsibility" payment when filing a federal income tax return, beginning in 2014.
One area in which Congress has acted in a bipartisan manner is in crafting a permanent solution to the “doc fix,” the sustainable growth rate formula.
The role of the healthcare CFO is dramatically changing and expanding. Nowhere is this more apparent than in the position specifications that leading organizations are drafting as they search for their next financial leader.
With healthcare reform generating so many unknowns, many hospital administrators are looking for ways to build up cash reserves as a defense against worst-case reimbursement scenarios.
Low-cost standalone prescription drug plans for Medicare Part D have been growing in market share, accounting for 16 percent of drug plans, according to an analysis of federal data by Avalere Health.
Insuring more people as a direct result of the Affordable Care Act will bump up national health spending in 2014 to a 6.1 percent growth rate, according to the Centers for Medicare & Medicaid Services. But for private health insurance, the spending growth rate will more than double.
Cigna will begin using MyFitnessPal's nutrition, physical activity and weight management platform to enhance its coaching programs. It's a way for the payer to support and meet members where they are as they try to manage their health.