Reimbursement
When deductibles are taken into account, about one-third of individual and family health plans currently exceed the Affordable Care Act's baseline limit on out-of-pocket expenses, researchers at the consumer website HealthPocket.com estimate.
A study recently released by insurance specialist firm The Hartford reveals that small businesses continue to succeed despite challenging economic conditions. In this video, Ray Sprague, senior vice president for The Hartford's small commercial insurance segment, shares key takeaways from the study and discusses strategies that small medical practices can implement to protect their business.
Hennepin County, Minnesota, is getting better outcomes with lower costs in a high-cost segment of its Medicaid population by being flexible and more targeted in meeting the needs of these patients learned an audience at the National Health Policy Conference Tuesday.
The Centers for Medicare & Medicaid Services will develop a new records system aimed at facilitating quality reporting for long-term hospital care, according to Wednesday's Federal Register.
New research finds that many seniors who switch from their HMO-style Medicare Advantage plan to traditional Medicare have higher levels of significant health problems, fueling concerns that the private plans cater to more profitable, healthy beneficiaries but don't provide the most attractive care for the very ill.
I was only a little bit surprised to read The Doctor’s Office as Union Shop, which blames the Affordable Care Act (ACA) for ushering in “a potentially radical factor in the transformation of health care –the doctor as union worker.”
Humana reported its earnings sank 3.5 percent in the fourth quarter 2012 from the previous year, as the insurer made investments to build its own integrated care network and reported more than $75 million in flu-related expenses.
For the third time since it first introduced its plans to require women's preventive health services including coverage for contraception under employer-sponsored health plans, the Department of Health and Human Services on Friday announced a modified set of proposed rules aimed at allaying the objections of religious organizations to the mandate.
For Medicare Advantage and prescription drug plans, the pressure is on to improve quality or miss out on incentives under the Centers for Medicare & Medicaid Services (CMS). Specifically, under the agency's Five Star Quality Rating System, plans that achieve and maintain a rating of 4.5 or above will have the opportunity to enroll beneficiaries throughout the 2013 plan year under a newly created special election period.
On Thursday, the Centers for Medicare & Medicaid Services (CMS) announced it had selected more than 500 healthcare organizations to participate in its Bundled Payment for Care Improvement initiative, a program to test how bundling payments for episodes of care can improve care coordination and lower overall Medicare expenditures.