Reimbursement
More than half of the nation's accountable care organizations (ACOs) are using or looking into remote patient monitoring technology to manage chronic care populations, a new survey indicates, but questions remain as to whether that technology will be effective.
Generic pharmaceuticals that were launched ahead of patent expiration due to patent settlements helped the U.S. health system save $25.5 billion from 2005 to 2012, according to an analysis released Monday by the Generic Pharmaceutical Association.
A proposed rule issued July 8 by the Centers for Medicare & Medicaid Services (CMS) would update payment policies and payment rates for services furnished under the Medicare Physician Fee Schedule (PFS) at the start of 2014, including for chronic care management.
Under a proposed rule issued this week, CMS would make a separate payment to physicians for managing select Medicare patients' care needs beginning in 2015. Currently, Medicare only pays for primary care management services as part of a face-to-face visit.
Geographic variations in Medicare medical treatment costs can differ among episodes of care for certain conditions and not only across but within regions, according to a new study from the Center for Studying Health System Change (HSC).
An analysis of the patient-centered medical home program at Blue Cross Blue Shield of Michigan shows it has saved an estimated $155 million from prevented claims over its first three years through June 2011.
Some Milton Friedman-esque critics of U.S. healthcare policy have long suggested that low-income people would be better off with insurance vouchers rather than Medicaid -- and now that approach is actually getting a chance.
Geographic variations in Medicare medical treatment costs can differ among episodes of care for certain conditions and not only across but within regions, according to a new study from the Center for Studying Health System Change.
A federal appeals court has ruled that California cannot limit dental, podiatry, optometry and other health services for Medicaid beneficiaries treated at certain federally-funded providers -- based on definitions by Medicare.
Molina Healthcare of New Mexico is assuming a Medicaid managed care contract from Lovelace Community Health Plans, after the health system-owned insurer lost a bid to participate in the state's new Medicaid program.