Reimbursement
UnitedHealth Group is pushing a theme of behavior change and incentives to improve America's troubled healthcare system -- and, more importantly, the American patient. It's a battle that Reed Tuckson, MD, UnitedHealth's executive vice president and chief of medical affairs, says won't be easy.
California's top insurance regulator is backing a state ballot initiative asking voters to give his office the power to approve health insurance rate increases.
The Medicare Payment Advisory Commission intensified its call to repeal the SGR (sustainable growth rate) formula despite the legislative fix at year-end to avert the fiscal cliff and override the planned 26.5 percent cut to provider payments.
The Medicare Payment Advisory Commission intensified its call to repeal the SGR (Sustainable Growth Rate) formula despite the legislative fix at year-end to avert the fiscal cliff and override the planned 26.5 percent cut to provider payments.
Were Mark Twain still around, he might say that reports on the killing off of Medicare Advantage (MA) plans have been greatly exaggerated.
On Jan. 1 2013, 106 new accountable care organizations began participating in the Medicare shared savings program, as federal health officials try to show that new health reform programs powered in part by better IT are starting to reap financial benefits.
What will be some of the pressing issues in the healthcare sector that will impact financial administrators in 2013? There's a lot to choose from, that's for sure, but a few healthcare experts narrowed the options down during a daylong session for members of the Maine chapter of the Healthcare Financial Management Association.
An Oregon lawmaker wants to open the state insurance rate review process to consumer watchdog groups, potentially making public certain financial data and giving consumer groups the right to intervene.
While only 17 percent of the working age U.S. population, adults with disabilities account for disproportionately high (almost 40 percent) emergency department visits, according to a recent study from National Institutes of Health (NIH) researchers.
During December, CMS estimated that it paid 10,000 Medicare eligible physicians $175 million and 4,200 Medicaid physicians $80 million in EHR incentives. In December, 850 hospitals under the combined programs received $1 billion. Total payments since the program's inception have reached $10.3 billion.