Reimbursement

Underwriting discipline and an improved cost structure have led to an increased credit rating for Blue Cross Blue Shield of Nebraska.

MedeAnalytics, a provider of healthcare performance management solutions such as on-demand analytics, announced Wednesday the launch of its accountable care organization (ACO) resource center for healthcare provider and payer organizations.

In order to remain in compliance with Medicare rules, and avoid denials by recovery audit contractors (RACs) and others, hospitals must reduce outpatient procedures performed during inpatient stays.

Social media tools may prove an effective way to boost participation in online health programs, according to researchers at the University of Michigan Medical School.

The Centers for Medicare & Medicaid Services has posted the 2011 Medicare clinical laboratory fee schedule files on its website.

A study by the Lewin Group, conducted for the Pharmaceutical Care Management Association, indicates Medicaid could save $30 billion over 10 years in pharmacy expenses by transitioning away from its current predominant fee-for-service payment model.

As debate swirls over the impact of an impending Medicare physician pay cut, the Medicare Payment Advisory Commission has released new findings that show seniors aren't having trouble finding Medicare physicians.

From hotel-style room service to massage therapy to magnificent views, hospitals are increasingly touting their luxury services in a bid to gain market share, especially in competitive urban markets, according to an article published in the New England Journal of Medicine.

As it seeks to expand its suite of clinical solutions for unified patient information management (UPIM), NaviNet, the biggest healthcare communications network in the country, has acquired Prematics, a provider of mobile care management solutions.

Jerry Buchanan, program manager at technology consulting firm eMids Technologies, shares five ways that consumer-driven healthcare proves to be game-changing.