Reimbursement
Lawmakers in Florida are considering requiring private health insurers to cover telehealth services.
Annual premiums for employer-sponsored family health coverage held to the recent moderate trend, climbing to $16,351 this year, or 4 percent more than last year, according to the Employer Health Benefits Survey released Tuesday by the Kaiser Family Foundation.
Medians for U.S. not-for-profit healthcare systems remained steady in 2012, but analysts expect a weakening in ratios due to the pressures of healthcare reform.
A few Penn State professors are protesting a new policy requiring employees to complete health risk assessments, showing the tensions that penalty-driven wellness plans can bring.
As the Department of Health and Human Services invests $67 million in insurance exchange navigators and $150 million more in enrollment assistance, some attorneys general are raising privacy and fraud concerns.
Florida's Shands Healthcare has agreed to pay $26 million to settle allegations that six of the network's hospitals had billed Medicare, Medicaid and the Department of Defense's TRICARE healthcare program for inpatient procedures that should have been processed as outpatient services, the Justice Department said Monday.
Massachusetts' first annual report on the commonwealth's healthcare market shows a limited movement away from fee-for-service and a market concentrated among a few large payers.
As medical supply prices have steadily risen in recent years, many hospitals have turned to group purchasing organizations to buy in bulk and keep costs down, but group product purchasing also complicates the product supply trail, often leading to errors that prevent fulfillment, delivery and payment.
Put to rest any hopes that Recovery Audit Contractors, or RACs, will be going away anytime soon.
Former Director, White House Office of Health Reform, and former Administrator, Centers for Medicare & Medicaid Services
Partner, Consonance Capital Partners, New York City