Anthony Brino
Making healthcare quality reporting more patient-centered should be a natural part of making healthcare itself more patient-centered, say two authors of a recent New England Journal of Medicine article.
Hospital risk sharing, integrated hospital systems and large group primary care practices are among the top factors linked with the formation of ACOs.
As health insurance exchange enrollment begins today, the stakes are high for states with large uninsured populations that are declining to expand Medicaid. That political decision could be the difference between the status quo and improvements in healthcare access and sustainability.
Recent research indicates that primary care physicians who participated in a quality-reporting incentive program saw patients make "greater improvements" in cardiovascular disease preventive care than the patients of fee-for-service providers.
Lawyers for a radiology practice are asking a federal appeals court in Richmond to let them challenge Virginia's certificate of need law, after a district court dismissed a lawsuit brought against the Virginia Department of Health.
The Affordable Care Act's medical loss ratio regulation appears to be achieving its goals of reducing insurers' administrative costs and tempering profits.
Contractors hired by Medicare to audit the payment records of healthcare providers have a good track record spotting improper billing, the HHS Inspector General concluded in a recent report, but legitimate concerns about their efficacy exist.
During the 2009 and 2010 fiscal years, 92 percent of the $95 million Alabama received in enrollment bonuses for the Children's Health Insurance Program was "not allowable in accordance with federal requirements," according to the U.S. Department of Health and Human Services' Office of the Inspector General.
The University of Pittsburgh Medical Center and health insurer Highmark have been engaged in contentious litigation for some time, amid a contract set to end in 2014, and now a series of advertising campaigns has brought Pennsylvania's governor into the debate.
The North Carolina Department of Health and Human Services' website will soon publish the prices of the 140 most common in-patient, surgical and imaging services performed by every hospital in the state.