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Reimbursement

By Diana Manos | 11:21 am | July 10, 2012
The Centers for Medicare & Medicaid Services has added 89 more accountable care organizations (ACOs) to coordinate care and improve quality for Medicare patients in 40 states and Washington, D.C.
By Healthcare Finance Staff | 11:04 am | July 10, 2012
Health Information Partnership for Tennessee (HIP TN), which was convened three years ago to help the Volunteer State develop a statewide health information exchange, has voted to "wind down" operations.
By Kelsey Brimmer | 10:04 am | July 10, 2012
On Friday, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would update many payment policies and rates involving services for Medicare beneficiaries in hospital outpatient departments (HOPDs) and ambulatory surgical centers (ASCs) beginning on Jan. 1. 2013.
By Chris Anderson | 12:18 pm | July 09, 2012
In a bid that will nearly double the number of members it serves in the Medicaid market, WellPoint Inc. today announced it will acquire managed care company Amerigroup for $92 per share or roughly $4.9 billion.
By Chris Anderson | 11:29 am | July 09, 2012
A lawsuit filed July 3 by doctors and medical groups including the Los Angeles County Medical Association and the California Medical Association accuses health insurer Aetna of systematically threatening to deny coverage to members who receive out-of-network referrals for healthcare.
By Healthcare Finance Staff | 01:45 pm | July 06, 2012
An individual who wants to obtain health coverage through Medicaid, health plans on the coming insurance exchanges or help with paying for them will fill out a single online application for any of the programs in 2014.
By Healthcare Finance Staff | 01:33 pm | July 06, 2012
A California lawsuit filed July 3 by a number of medical groups including the Los Angeles County Medical Association and the California Medical Association accuses health insurer Aetna of regularly and systematically threatening to deny coverage to members who receive out-of-network referrals for healthcare.
By Healthcare Finance Staff | 11:31 am | July 06, 2012
While one survey found a slight uptick in the popularity of Obamacare since the Supreme Court handed down its ruling on the Affordable Care Act, the larger question pertains to whether or not the legislative victory will help President Obama in the long-run, and that jury is still out.
By Healthcare Finance Staff | 11:02 am | July 06, 2012
The eHealth Initiative (eHI) has concerns that the proposed regulations for health information exchange could unintentionally stifle innovation and hinder the growth of data exchange.
By James Ellis and Aaron Razavi | 09:12 am | July 06, 2012
In a 5-4 decision the Supreme Court ruled in favor of healthcare reform marking a momentous occasion for Americans, hospitals, patients and all other parties in the healthcare continuum. However, now that reform has passed what will hospitals be doing differently that they previously hadn’t?