Reimbursement
Consumer advocates and some lawmakers are promoting a new bill they say would save Medicare $141 billion over the next decade by requiring prescription drug rebates for Medicaid-Medicare eligible patients and low-income Medicare beneficiaries.
Florida Blue, the Sunshine State's largest insurer, has launched a project with data exchange platform Availity and ambulatory electronic health record vendor Greenway that will enable physicians to exchange clinical summaries with the health plan through their EHRs.
Big data offers big promise for the future of medicine, and at the annual TEDMED conference Tuesday in the nation's capital, speakers put forth ideas that included the use "digital traces" and "digital bread crumbs" as ways to help guage a patient's health.
The Premier healthcare alliance, which includes 2,800 hospitals and 93,000 other provider and payer organizations across the country, has partnered with Phytel to automate population health services in order to help its members scale their efforts to improve patient care and adapt to a rapidly changing healthcare system.
Bundled care is touted frequently these days as one of the best ways in healthcare to save money, right reimbursement wrongs and heighten the quality of care. While the model is still being debated within the industry, a recent report indicates that consumers like it.
Health insurer Priority Health has announced it has contracted with Healthcare Blue Book to publish cost and quality information for more than 300 procedures by facility and physician for its insurance members in Michigan.
Hospitals make more of a profit when surgical patients develop complications finds a new study published Wednesday in JAMA.
The Federal Bureau of Investigation estimates that healthcare fraud costs are approximately $80 billion annually. To prevent some of the billions from being siphoned from the healthcare system, many organizations are turning toward analytics.
After rejecting the Affordable Care Act's Medicaid expansion, Florida Republican lawmakers have proposed what they call a market-based program for covering the uninsured that's entirely state-funded, prompting criticism from Democrats, progressive advocates and even the Republican governor, Rick Scott.
In the era of reform, healthcare providers will have to operate more like any other business by using the most efficient methods to deliver and pay for the most effective care, said a panel representing the banking industry and healthcare payers and providers during a business of healthcare session at the 2013 HIMSS Annual Conference & Exhibition last week. Electronic transactions offer an attractive solution.