Reimbursement
In its June Health Tracking Poll, Kaiser Family Foundation found that Americans generally do not have confidence in Congress or private insurers to keep Medicare financially sound.
Louisiana's Making Medicaid Better initiative announced that it had received proposals from 12 separate entities to become coordinated care networks under the state's effort to remake its insurance program for the poor. Among the 12, three companies proposed a shared savings network model while nine proposed a pre-paid network structure.
Finding ways to create a payment model that rewards high-quality outcomes, reduces avoidable costs and protects payer and provider margins is the ultimate goal of those working to reform the healthcare system today. That was the focus of a recent education session, "Bridging the Payer and Provider Gap: Creating a Shared-Savings Payment Model for Increased Quality and Efficiency," at HFMA's ANI conference and exhibition held at the Gaylord Palms Resort in Orlando, Fla., June 26-29.
A 2010 Government Accountability Office survey of physicians who serve children found that physicians have a harder time referring their pediatric patients in Medicaid and the Children's Health Insurance Program (CHIP) to specialty care than they do when they refer children covered by private insurance.
The Department of Health and Human Services (HHS) took the first steps to implement an Affordable Care Act provision that cuts red tape in the healthcare system and saves an estimated $12 billion over the next ten years.
New models for reimbursing physicians that put a greater financial risk on the medical practice is the No. 1 challenge in a list of five concerns that weigh most heavily on practice administrators, according to new research from the Medical Group Management Association.
Payers are on track for the implementation of ICD-10 and do not anticipate problems with processing payments -- at least according to Ian Bonnet, vice president leading the ICD-10 rollout at health insurer Wellpoint.
The Centers for Medicare & Medicaid Services (CMS) has selected defense contractor Northrop Grumman to develop and implement a fraud prevention system to help identify high-risk claims in support of the National Fraud Prevention Program.
Payers are on track for the implementation of ICD-10 and do not anticipate problems with processing payments – at least according to Ian Bonnet, vice president leading the ICD-10 rollout at health insurer Wellpoint.
The Robert Wood Johnson Foundation (RWJF) has launched a new online consumer directory of physicians and hospitals.