Reimbursement
About 16.6 million small business employees work in firms that will be eligible for tax credits designed to offset health insurance premium costs, according to the Commonwealth Fund.
Thomson Reuters announced Wednesday that it has acquired Healthcare Data Management, Inc., a King of Prussia, Pa.-based health plan benchmarking firm that will now become part of the Healthcare & Science business of Thomson Reuters.
Seventy-seven percent of payers expect a changing relationship with pharmaceutical companies, with 48 percent calling for pharmas to take a more active role in supporting payer managed care (DM, MU, adherence) programs according to a July 2010 poll by The Gantry Group, LLC.
CMS has issued instructions to states on how they can qualify for the extended enhanced federal Medicaid matching rates under H.R. 1586.
Connolly Healthcare posted approvals Friday for the review of medical necessity for the same 29 MS-DRGs already cited earlier this month by two other Recovery Audit Contractors (RACs).
The Ohio Association of Home Medical Equipment Services has announced its opposition to the Center for Medicare and Medicaid Services' competitive bidding plan for Medicare reimbursements, joining a host of other organizations that contend the plan is unsustainable will put provider organizations out of business and, as a result, restrict access to needed medical equipment and care.
American CareSource Holdings, Inc., based in Dallas, has added three clients to its portfolio: Caprock HealthPlans, Inc., a Lubbock, Texas-based third party administrator, GreenTree Administrators, Inc., a Beaumont, Texas-based regional third party administrator, and Community Claims Administration, an Orange, Calif.-based third party administrator.
The Centers for Medicare & Medicaid Services will host a Sept. 1 conference call on the new Resource Utilization Group payment categories for skilled nursing facilities, known as RUG-IV.
The Department of Health and Human Services has made available an online tool from its Healthcare.gov Web site that streamlines the public's search for insurance coverage options.
Emory Healthcare, the largest healthcare system in Georgia, is boosting eligibility services at its metro Atlanta facilities to help its growing self-pay patient population obtain healthcare coverage.