Reimbursement
When the Joint Commission's new standards for hospital accreditation based on language access take full effect a year from now, many hospitals might not make the cut and could lose critical funding.
Two key elements of the Patient Protection and Affordable Care Act are the requirement that health insurance carriers accept all applicants (what's called guarantee issue) matched by a requirement that individuals obtain health care coverage or face a penalty (referred to as an individual mandate). The PPACA was not the first bill take this approach to move toward more universal coverage. In response to then President Bill Clinton's health care reform proposal, 19 Republican Senators joined by two Democrats, put forward the Health Equity and Access Reform Today Act of 1993.
Preferred Care Partners has entered the Medicaid market with the launch of CareFlorida, a new health plan serving Medicaid recipients in Miami-Dade and Broward counties. Preferred Care Partners is one of the largest private Medicare-Advantage plans in Florida.
A report from Moody's Investors Services shows that changes in employee benefits plan designs as well as new medical management techniques such as employee wellness programs are playing a large role in reducing demand for healthcare services.
Craneware, Inc., a provider of automated revenue integrity solutions for the U.S. healthcare market, has acquired Nashville-based ClaimTrust, Inc., a Software-as-a-Service revenue cycle technology vendor.
In a letter to Arizona Gov. Jan Brewer earlier this week, U.S. Department of Health and Human Services Secretary Kathleen Sebelius informed Brewer that the state does not need an HHS waiver for its plans to remove more than 250,000 people from its Medicaid rolls.
We've seen the ease with which he bested his human opponents on the Jeopardy! challenge. Next up for Watson the supercomputer? Improving the delivery of healthcare.
HP Enterprise Services and the Oklahoma Health Care Authority have signed a $281 million, seven-year contract aimed at preparing the state for healthcare reform mandates and making more services available to the state's Medicaid program members.
3M Health Information Systems and Nuance Communications have announced a collaboration to develop a next generation, ICD-10-ready clinical documentation improvement solution.
The U.S. Department of Health & Human Services announced Wednesday the awarding of $241 million in "Early Innovator" grants to help seven states design and implement the IT infrastructure needed to launch state health insurance exchanges.