Reimbursement
State health insurance exchanges are putting together financing and revenue sources, with many likely relying on insurer fees, as long-term state or federal support remains uncertain.
Highmark Inc. has unveiled a new group health plan that provides incentives for members to use providers that exhibit higher quality outcomes, fewer complications and reduced readmissions.
It's often been said that almost everyone has a smartphone. Unfortunately, not everyone has the financial resources to use it.
Hundreds of thousands of Medicare beneficiaries in almost 100 counties across the United States and its territories will be losing coverage for telehealth services because they no longer live in federally designated rural areas.
California's three-year demonstration program for Medicare-Medicaid dual eligibles has been approved by the federal government.
As the number of mobile health apps continue to grow, along with public demand for them, one company has found a way to open the pipelines of innovation by eliminating the need for multiple application programming interfaces (APIs).
The International Federation of Health Plans released its 2012 Comparative Price Report, detailing its annual survey of medical costs per unit in the United States and 11 other developed countries, which again showed average costs in this country far exceed those in the rest of the world.
Only 10.9 percent of payments to doctors and hospitals in the commercial sector in 2013 are linked to their performance or designed to cut waste, according to the National Scorecard on Payment Reform released by the Catalyst for Payment Reform (CPR), a non-profit group of employers and large healthcare purchasers that advocates for paying for value.
After a federal district judge temporarily blocked a Georgia prompt payment law applying to self-funded plans and third party administrators (TPAs), the American Medical Association (AMA) is challenging some of the pillars of federal preemption under the Employee Retirement Income Security Act (ERISA).
In the first year of new medical loss ratio (MLR) requirements, insurers spent less than 1 percent of premium revenue on rebates or quality improvements, according to an analysis by the Commonwealth Fund.