Reimbursement
One of the most vexing issues in the Affordable Care Act's implementation is making the individual mandate work with a robust market -- and a large part of that means getting so-called "young invincibles" to buy insurance.
Do I have enough information? While that's a question that tugs on people's minds as they grapple with all sorts of decisions, it may be most persistent, and most significant, to doctors determining how best to treat their patients.
As convergence around the needs of patients and consumers intensifies, payers, providers, and employers are collaborating beyond their traditional boundaries. IBM's Institute for Business Value and the AHIP Foundation's Institute for Health Systems Solutions recently conducted research on this issue and its implications and will release their findings at this week's 2013 AHIP Institute.
Summa Health System and Catholic Health Partners are on the road to becoming accountable care organizations, and they're sharing what they've learned with attendees of the Healthcare Financial Management Association's ANI 2013 conference taking place next week in Orlando, Fla.
The 2013 AHIP Institute will drill down to specific healthcare topics through its concurrent sessions, including one that will explore the "patient-centered financial home," which extends consumer engagement from clinical care delivery to benefits and payments.
The Connecticut Attorney General has reached a settlement with the owner of six dental management and consulting firms accused of Medicaid fraud.
A report from Premier healthcare alliance has found that commercial payers do not offer as many of the upside-only payment arrangements for shared savings that are popular among early accountable care organizations (ACOs) as public payers do.
Aetna will include The Leapfrog Group's Hospital Safety Scores in its DocFind online hospital directory to help patients make better decisions about their care.
A federal court has struck down a California "carve in" law requiring Medicaid safety net providers to only dispense drugs purchased at a discount, although the ruling also implied that type of mandate would be permissible with federal approval.
The Robert Wood Johnson Foundation (RWJF) announced Tuesday a competition to improve consumer understanding and use of data comparing hospital prices but the results could also be of use to hospitals.