Reimbursement
Blue Cross Blue Shield of Michigan, the state's largest insurer, formerly tax-exempt and serving as a guaranteed issuer since 1980, is now subject to the same market rules as its competitors as it becomes a nonprofit mutual company -- with a 70 percent share of the state's commercial market -- under a law signed by the governor Monday.
Even though 2 percent reductions are scheduled to hit Medicare payments due to sequestration cuts beginning on April 1, a recent Standard & Poor's (S&P) report said the futures outlook for for-profit hospitals is stable.
The Congressional Budget Office's reduced estimate of the cost of an SGR repeal may offer an opportunity for the Congress to act, MedPAC said in its annual report to Congress.
Vermont Health Connect, the state insurance exchange, has released a draft version of administrative rules for small group coverage, the first of several frameworks that will govern what's envisioned as a stepping stone to a publicly-financed, single-payer health system.
A new report from non-profits Catalyst for Payment Reform (CPR) and the Health Care Incentives Improvement Institute (HCI3) finds that 29 states get a grade of "F" for their lack of laws to provide for healthcare cost transparency.
Premier Research Institute Vice President and Chief Scientist Eugene A. Kroch and two hospital executives shared what they believe to be the top characteristics associated with a healthcare organization's readiness to form an accountable care organization (ACO) during a webinar on Thursday.
Premier Research Institute Vice President and Chief Scientist Eugene A. Kroch and two hospital executives shared what they believe to be the top characteristics associated with a healthcare organization's readiness to form an accountable care organization (ACO) during a webinar on Thursday.
A report released last month by the Office of Inspector General found that about one-third of skilled nursing facilities chosen from a random sample were not meeting some of the requirements for Medicare funding.
Several areas across the country are trying out community paramedicine programs in an effort to increase healthcare services and decrease healthcare costs.
Analytics technologies, especially tools that track population health, are the chief investment priority for organizations pursuing accountable care, according to a new report from IDC Health Insights.