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Reimbursement

By Erin McCann | 02:17 pm | July 16, 2013
A year into the Pioneer ACOs program and participating organizations are already showing reductions in costs and improvements in care, the Centers for Medicare & Medicaid Services announced Tuesday.
By Healthcare Finance Staff | 12:37 pm | July 16, 2013
It's been one year since the inception of the Pioneer Accountable Care Organization Model, an alternative payment model initiative developed by Centers for Medicare & Medicaid Services, and already the ACOs have demonstrated marked success in providing better coordinated care to beneficiaries at lower costs.
By Healthcare Finance Staff | 12:32 pm | July 16, 2013
For many years, members of the skilled nursing community have been voicing concerns about the sector's ability to remain viable in the face of continued reimbursement cuts from the federal government. A new analysis bolsters their argument that SNFs are on shaky ground.
By Stephanie Bouchard | 12:32 pm | July 16, 2013
Members of the skilled nursing community have been voicing concerns about the sector's ability to remain viable in the face of continued reimbursement cuts from the federal government. A new analysis bolsters their argument that SNFs are on shaky ground.
By Richard Pizzi | 12:00 pm | July 16, 2013
Overall U.S. healthcare prices rose slightly from May to June 2013, according to the federal Bureau of Labor Statistics.
By Madelyn Kearns | 09:42 am | July 16, 2013
A majority of healthcare providers are actively cutting costs in reaction to changes caused by healthcare reform finds a new survey by a supply chain improvement company.
By Healthcare Finance Staff | 09:35 am | July 16, 2013
More than half of private companies are finding themselves ahead of the government's employer insurance requirements now that the Treasury Department has delayed compliance until 2015.
By Healthcare Finance Staff | 04:28 pm | July 15, 2013
Employees buying health insurance in private exchanges, with defined contributions from their employers, tend to choose plans with lower premiums and higher deductibles, according to data published by the private insurance exchange Liazon.
By Healthcare Finance Staff | 02:01 pm | July 15, 2013
The administrative director of a Columbus, Ga., cancer clinic has filed a whistleblower lawsuit, alleging violations of the False Claims Act for "systematically" overbilling Medicare, Medicaid and TRICARE with widespread upcoding and shoddy documentation practices.
By Healthcare Finance Staff | 12:27 pm | July 15, 2013
Many state health insurance exchanges will show a high level of plan competition and attract multiple insurers, based on the experience of six states, according to a new report released Friday by the Robert Wood Johnson Foundation (RWJF).