Reimbursement

Between 1980 and 2009, healthcare expenditures grew by 7.4 percent, which most economists agree would bankrupt the nation if continued. But a closer look at the statistics reveals that the last 10 years in that period saw only a 5.9 percent increase, and the spending growth from 2009 to 2011 dropped to 3.1 percent.

Insurers will offer consumers more choices for individual health plans than they do now when state-based health insurance exchanges open for enrollment in October, according to an analysis from the Robert Wood Johnson Foundation (RWJF). The increased competition may also drive down prices.

Two Congressmen are calling for an inspector general investigation of the Centers for Medicare & Medicaid Services' durable medical equipment competitive bidding, after reports of contracts awarded to companies not in compliance with program guidelines.

A recent study published in the Medicare & Medicaid Research Review concludes that use of ambulatory EHRs by community providers resulted in both higher and lower Medicaid costs.

A recent study published in the Medicare & Medicaid Research Review concludes that use of ambulatory EHRs by community providers resulted in both higher and lower Medicaid costs.

You'd be forgiven for thinking revenue cycle management technology is a bit, well, boring. You'd also be wrong. The coming years are going to see some big changes in the way hospitals get paid -- and the IT they use to track when and how they get paid is going to have to change as well.

Arizona Governor Jan Brewer has signed a law requiring providers to publicly display the prices of their most common services and changing the state's Medicaid reimbursement methodology.

Major changes driven by the Affordable Care Act and rising consumer cost-sharing are slowing the rise in the healthcare growth rate, now projected at 6.5 percent in 2014, a full percentage point from the 7.5 percent predicted for this year, according to PwC's Health Research Institute (HRI).

The Affordable Care Act's medical loss ratio (MLR) will bring 8.5 million insurance customers about $500 million in rebates this summer and hopefully drive more competition in the long run, federal health officials said Thursday.

Unexpectedly tasked with operating an insurance exchange in 34 states, the Centers for Medicare & Medicaid Services is mostly on track to have the federal data services hub running in October, according to the Government Accountability Office.