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Reimbursement

By Healthcare Finance Staff | 11:25 am | December 02, 2011
More than 2,400 doctors, nurses and health advocates sent a letter this week to Department of Health and Human Services Secretary Kathleen Sebelius protesting what it sees as conflicts of interest and the potential for inadequate insurance coverage based on the Institute of Medicine's recommendations to HHS on essential health benefits.
By Healthcare Finance Staff | 10:31 am | December 02, 2011
Private payer AvMed Health Plans, has recently begun working with a health system and an array of physicians in South Florida to develop a payer-provider collaboration based on a patient-centered medical home model.
By Stephanie Bouchard | 05:27 pm | December 01, 2011
Standard & Poor's removed six nursing homes from CreditWatch and affirmed their respective ratings on Wednesday.
By Healthcare Finance Staff | 10:59 am | December 01, 2011
The Centers for Medicare & Medicaid Services (CMS) Center for Consumer Information and Insurance Oversight (CCIIO) tapped CGI Federal Inc.  to build the government's health insurance exchange, Federal Exchange (FX).
By Richard Pizzi | 12:29 pm | November 30, 2011
The Centers for Medicare & Medicare Services has postponed a Dec. 6 conference call on the Fiscal Year 2013 Hospital Value-Based Purchasing Program.
By Chris Anderson | 12:02 pm | November 30, 2011
Humana Inc. on Tuesday announced that it will acquire acute care management company SeniorBridge, as the national insurer and provider of Medicare plans looks to strengthen its care management capabilities nationwide.
By Healthcare Finance Staff | 11:05 am | November 30, 2011
Leavitt Partners' Center for ACO Intelligence, which tracks national and regional trends related to ACOs and other emerging care delivery systems, released a white paper Wednesday on the status of ACOs following federal health reform.
By Mike Stephens | 09:56 am | November 30, 2011
Most of the recent efforts to reform our country's healthcare system have been focused on the development of accountable care organizations.
By Healthcare Finance Staff | 12:16 pm | November 29, 2011
Why is a major health insurer conversing with hospital systems in Pennsylvania to discuss performance on quality measures? They are discussing reimbursement incentives as participants in Highmark Inc.'s QualityBLUE pay-for-performance program.
By Ulrich Brechbühl | 09:17 am | November 29, 2011
With all the talk of Medicaid expansion under healthcare reform, we sometimes forget that a state’s current economic woes can affect funding for this valuable resource.