Reimbursement
Since there is a lot to get straight when it comes to ICD-10, it is expected to find a lot of resources designed to get medical professionals up to speed.
UnitedHealthcare is beginning to experience reduced hospital and emergency room use as a result of payers and providers sharing patient data through health information exchange in its eight patient-centered medical home pilots around the country.
Imagine receiving your credit card bill every month, and the only information you're provided is an amount due and a "pay by" date of 48 hours from now. The amount due doesn't look too far off from what it was on your last statement, so you shrug and just pay your bill – you can trust your credit card company, right?
On Thursday, the U.S. Department of Health & Human Services implemented a new regulation that requires health insurers to submit rate increase requests exceeding 10 percent to federal and state authorities to determine whether the increases are "reasonable or not."
A $500,000 grant from the National Science Foundation will help Indiana University researchers better understand how technologies can help underserved aging adults remain at home.
The Michigan Department of Community Health's Medicaid Management Information System, called CHAMPS, has received certification from the Centers for Medicare & Medicaid Services.
According to the American Hospital Association (AHA), the Centers for Medicare & Medicaid Services (CMS) has thus far failed to report certain measures of the complex value-based purchasing (VBP) program – a reality that might not only undermine the law but ultimately make it harder for hospitals to engage VBP for performance improvements.
One hundred patients with diabetes have signed up for a telemonitoring pilot spearheaded by HEALTHeLINK, the regional health information organization (RHIO) serving Western New York State.
Apparently so. But she's only understood half the message.
For several years now, NCPA scholars have been calling for a radical change in how Medicare pays doctors and hospitals -- in The Wall Street Journal, in NCPA publications and at this blog.
Here's the idea: Instead of having Medicare fix millions of prices for predetermined packages of care, we should allow providers the opportunity to produce better care and cheaper care by repackaging and re-pricing their services.
A provision of the 2010 Affordable Care Act that intends to increase Medicare beneficiaries' share of healthcare costs is meeting resistance from a group charged with revising Medigap insurance policies that cover most out-of-pocket expenses.