Reimbursement

The California Hospital Association last week petitioned a federal district court to grant a preliminary injunction against California's Medicaid program, called Medi-Cal, to prevent it from making 10 percent reimbursement cuts primarily affecting hospital-based skilled nursing facilities.

Officials at Accenture and AT&T have launched a new medical imaging solution they say will help hospitals access medical images and doctors to collaborate.

Medicare Advantage members in Pennsylvania who enrolled in a Health Quality Partners (HQP) care management program had 20 percent fewer inpatient hospital admissions, according to a report issued by Aetna on Nov. 16.

The healthcare industry's implementation of HIPAA 4010 was the first time it attempted to standardize transactions between providers and payers. And there were a lot of lessons to be learned. CMS has corrected some of the issues, and as a result, HIPAA 5010 implementation has been smoother.

The three pillars of what's often dubbed Newt Inc. -- two for-profit groups and one defunct political committee -- raked in more than $105 million in revenue and donations from 2001 through 2010 while Newt Gingrich was eyeing a political comeback.

Health plans looking to change member behavior to produce better health outcomes need to take a multivariable approach to member engagement.

The Centers for Medicare and Medicaid Services has its work cut out in transitioning to ICD-10. As the largest payer and the force driving the new code sets in the United States, CMS has a task at least as intimidating as anyone else in implementing ICD-10.

In an effort to provide some sense of certainty about an ACO's ability to reach the so-called triple aim of reducing cost, improving quality and enhancing patient experience, the National Committee for Quality Assurance (NCQA) released on Monday its standards and guidelines which are the basis of its ACO accreditation program.