Reimbursement
Employer-sponsored health insurance may increase as a result of the Affordable Care Act, according to a new Urban Institute study challenging the notion, and some evidence, that the law will likely lead to a drop in employer coverage.
California Gov. Jerry Brown signed several new health and insurance rules into law last week and vetoed a few others.
Leaders of Maine's NovaHealth, an independent physician association, talk to Healthcare Finance News about the keys to their successful collaborative care pilot with Aetna, stressing the importance of technology and developing a trusting relationship.
Trying to preserve an affiliation deal, insurer Highmark is seeking a temporary restraining order to prevent West Penn Allegheny Health System from "starting affiliation/acquisition discussions with other organizations."
Humana inks 16-county Medicaid managed care deal in Kentucky; South Carolina to add 65,000 children to Medicaid; and Arkansas launches new Medicaid initiative in this week's Medicaid Digest.
Among the pods of debate in Denver on Oct. 3, the issue of healthcare was every bit as fiery as the oft-considered more popular economy, jobs, and the widely-divisive role of government.
The Medicare Strike Force unsealed indictments against 91 people in seven different cities who are accused of fraudulent billing to Medicare to the tune of $429.2 million.
Three years after launching a 750-patient Medicare Advantage collaborative care pilot, Portland, Maine-based independent physician practice NovaHealth and insurer Aetna have shown concrete results in improving care quality and reducing costs. Technology and provider-payer cooperation played a large part in the program's success.
Results of a new national survey conducted by Medicare Today and KRC Research shows that 9 in 10 seniors are satisfied with Medicare Part D prescription drug coverage, up from 78 percent satisfaction when the program was first launched.
The number of Medicare Advantage plans being offered is expected to increase by 7 percent over the next year, from 2,430 currently to 2,600 in 2013, according to a report from Avalere Health.