Reimbursement

The Department of Health and Human Services has released a proposed rule detailing how states can create and operate their health insurance marketplaces, where consumers and small businesses can comparison shop for health plans starting in 2014.

As all eyes focus on the efforts of states to get their mandated health insurance exchanges up and running, Bloom Health this week entered the fray with the launch of two "private" exchanges serving individual health plans and their members.

Health Level Seven (HL7) and the International Health Terminology Standards Development Organisation (IHTSDO) announced Thursday that they have expanded collaborative efforts.

Now that July is here, the health IT realm is officially within the six-month countdown to HIPAA 5010. It's no surprise that the state of the HIPAA 5010 transition is something of a mess.

OptumInsight (formerly Ingenix) and Dallas-based RemitDATA have together launched Remit Advice Professional, a Web-based service that offers physician practices access to intelligence about health plan claims processing trends, alongside coding and referential tools to increase productivity, reduce denials and prevent delays.

The key to a successful wellness program lies in the ability to reimburse people for engaging in healthy activities, like going to a fitness center. But health plans, insurers and employers have long struggles with how to properly reimburse a workout.

Minnesota-based IT company's platform allows health plans, employers to schedule reimbursements for health club visits.

4medica, provider of a cloud and SaaS-based clinical integration platform, announced Wednesday it will be joining forces with Kodak to help hospitals and physicians efficiently digitize clinical data.

Over the last week, the Centers for Medicare & Medicaid Services (CMS) has issued proposed changes that will update payment policies and rates for physicians, dialysis facilities and for services to Medicare beneficiaries in hospital outpatient departments and decrease Medicare payments to home health agencies.