Reimbursement
With recognition that "the path through accountable care is unknown," IDC Health Insights has launched a new Accountable Care Maturity Model, designed to help healthcare organizations gauge their own status and make strategic decisions for funding business and IT initiatives.
The American Orthotic and Prosthetic Association (AOPA) is suing the Department of Health and Human Services over 2011 rule changes for prosthetic reimbursements requiring physician documentation, which the association claims is wreaking financial havoc on O&P practitioners due to prepayment audits and retroactive application.
A new report by the Society of Actuaries has found that aging is not as overwhelming a driver of increased healthcare spending as is generally believed.
A Google search for "health insurance" brings eHealthInsurance.com as one of the top results -- one reason, eHealth executives say, that state exchanges should follow the federal government in allowing consumers to enroll in subsidized health plans through private web exchanges like eHealthInsurance.
The federal government has uncovered a string of alleged Medicare fraud attempts totalling $223 million and involving 89 individuals in eight cities.
The federal government has uncovered a string of alleged Medicare fraud attempts totalling $223 million and involving 89 individuals in eight cities.
A new report examining the state of the skilled nursing industry finds that there have been steady quality improvements since 2003 but more can be done.
Colorado HealthOP, the state's consumer operated and oriented plan (CO-OP), has signed an agreement with the broker network Warner Pacific to market its health plans, in the first relationship between agents and state health cooperatives.
The Centers for Medicare & Medicaid Services (CMS) is looking to more than a dozen dual eligible demonstrations to fulfill the quality improvement and cost saving aims of the Affordable Care Act, although in the five demonstrations approved so far, the exact sources of projected savings remain largely unclear, according to the Kaiser Family Foundation.
The number of health plans that expect more than half their business will be under value-based models is expected to triple in the next five years according to a new research report released last week by health information network Availity.