Reimbursement
A bipartisan group of lawmakers has introduced legislation that would equip the nation's 48-million-and-counting Medicare enrollees with smartcards, thus improving access to healthcare and saving an estimated $30 billion a year in fraud and waste.
On October 1, 2013, the entire US healthcare system will shift from ICD-9 to ICD-10. It will be one of the largest, most expensive and riskiest transitions that healthcare CIOs will experience in their careers, affecting every clinical and financial system. It's a kind of Y2K for healthcare.
Health Care Service Corp. (HCSC), WellPoint Inc. and Blue Cross Blue Shield of Michigan announced last week a joint effort to offer a nationwide private insurance exchange and defined contribution solution for employers via an investment in Bloom Health.
Humana Inc. announced today an agreement to acquire Southern California's MD Care, a Medicare Advantage HMO with approximately 15,000 members.
New York, North Carolina and Texas are examples of how states take different paths to expand and improve Medicaid managed care, including medical home models, new services and health plan competition. Regardless of the tools, managed care is fast approaching as the primary method to deliver health care to low income populations.
The Integrated Healthcare Association (IHA) named California's top performing physician organizations on Thursday, based on its statewide pay for performance program measures.
As health organizations begin to feel their way toward accountable care models, a new report from KLAS explores how providers and vendors are putting the pieces together, finding varying levels of confidence in IT solutions' integration ability.
With the ICD-10 transition deadline now just two years away, providers and payers have finally begun tackling the project in earnest, according to a new survey from the American Health Information Management Association (AHIMA), which shows 85 percent of organizations either planning for or implementing ICD-10 coding.
A new health research initiative called the Health Care Cost Institute was launched Tuesday, providing researchers and policymakers access to medical claims data from four major insurers and the federal government in order to offer new insights into healthcare costs, utilization and intensity.
While many in the industry liken the ICD-10 compliance date to flipping a switch, there will be a tricky subset of claims that "span the implementation date."