Reimbursement
Senior payer and provider executives say the Medicare Shared Savings Program and competition from other organizations, rather than pressure from employers, are driving the formation of commercial ACOs.
PHILADELPHIA - Improving the availability, accuracy and delivery of information in an actionable way is at the heart of the myriad reforms impacting the healthcare industry today, according to an IDC Health Insights analyst.
The American Medical Association is calling on the business community to help it fight administrative waste in healthcare. A root cause of the $200 billion a year problem, says AMA President Cecil B. Wilson, MD, is lack of standardization.
An estimated 60% of American bankruptcies result from overwhelming medical costs. My uncle's tale illuminates the dual tragedy of suffering catastrophic illness and being uninsured.
The Department of Health and Human Services' Office of the Inspector General wants the federal government to look more closely at the use of Medicare Part D rebates, according to a new report.
Less than six weeks after announcing plans to explore a merger, Harvard Pilgrim Healthcare and Tufts Health Plan announced they will not pursue the idea any further.
BancTec, a Dallas-based developer of transaction automation and outsourcing solutions, has unveiled Healthcare Remittance Automation, an outsourced service for providers, aggregators and financial institutions to automate and optimize healthcare payment workflow.
More than $1.3 billion in tobacco settlement funds have been diverted over the past six years from Pennsylvania's adultBasic health insurance program and other health programs to other uses, said state Auditor General Jack Wagner.
Roughly $48 billion of Medicare's $507 billion budget in 2010 went to fraudulent or improper payments, according to a report from the Government Accountability Office.
Inpatient acute care hospital billing staff need to make sure medical documentation submitted demonstrates evidence of the clinical need for patients to be admitted and that it fully and accurately identifies any subsequent care provided during that stay.