Reimbursement
As states across the country work to expand Medicaid and build health insurance exchanges, one challenge they will surely face is fraud.
Many patients take their first look at a hospital bill, only to go into sticker shock. A single aspirin for $25? Newborn diapers for $100? Why is it that products we purchase for pennies at the local drug store end up costing so much more in the hospital?
As states across the country work to expand Medicaid and build health insurance exchanges, one challenge they will surely face is fraud.
Blue Cross Blue Shield of Arizona and non-profit health system Banner Health have announced an equal partnership designed to provide a coordinated Medicare Advantage offering to be known as Blue Cross Blue Shield of Arizona Advantage.
SCAN Health Plan, a California HMO, is paying the state of California and the federal government $323 million in fines for Medicaid and Medicare overpayments, some going back to 1985.
Angela Braly abruptly resigned yesterday as chairman and CEO of WellPoint amid a growing outcry from the investment community for her ouster driven by a slumping stock price and lagging earnings.
By choosing Wisconsin Rep. Paul Ryan to be his running mate, presumptive GOP presidential nominee Mitt Romney put Medicare on the table as a major 2012 campaign issue.
The proliferation of mobile medical devices means providers, payers and even patients are collecting more data than ever before. But do they know what to do with it?
Hays Green, healthcare policy practice lead at WPC, a Nashville-based company that provides consulting solutions, has outlined five preparatory actions that providers can kickstart today to create a solid infrastructure to achieve long-term ACO goals. "These steps can help organizations enter the commercial realm of accountable care models on level footing," Green said.
A notably picky species, American consumers have varying preferences for communicating with their health insurers and receiving their bills, a new study found, which means there's a lot of potential for consumer engagement.