Anthony Brino
Providers of Medicare Advantage and Part D plans: look out. Dozens of plans may soon be terminated.
New entrants in the healthcare market could snatch billions of dollars of revenue from traditional healthcare companies if the traditional companies do not move faster to provide services in the setting consumers want.
Insurers offering Medicare Advantage plans got a bit of a reprieve this week when the Centers for Medicare & Medicaid Services gave them a rate increase instead of the expected cut. CMS' 2015 rate announcement also addressed concerns over provider terminations and beneficiary cost sharing.
Catholic Health Initiatives' long-term transformation strategy has a bit of the expected -- IT investment -- and the unexpected -- the creation of an insurance business.
In an effort to boost its integration and retail strategy, Humana is bringing on a veteran investment banker who has worked on some of healthcare's largest merger and acquisition deals in recent history.
With Medicare's "two midnight rule" set to take effect later this year and audit appeals facing lengthy backlogs, the Recovery Audit Contractor program may be headed in some new directions.
In a recent report, MedPAC identified the common traits of the nation's poorly-performing hospitals. These are traits that have a big impact on hospital financial performance and should be understood by all hospitals -- even if they aren’t performing poorly currently.
With a new study showing both inpatient reductions and specialty care increases linked to high-risk medical home patients, health systems have more evidence to buy into the PCMH model as part of their clinical and financial improvement strategies.
Emergency rooms across the country need to prepare themselves for an increase in ER visits as more uninsured people gain insurance under healthcare reform.
Medicare's Trust Fund has a 12 years of solvency left and seniors are also being forced to pay more, making it a ripe time to reform today's haphazard payment system, argues Medicare's independent advisor.