Healthcare Finance Staff
Men are getting more screening colonoscopies since the health law reduced how much Medicare beneficiaries pay out of pocket for the preventive tests, a recent study found. The change, however, didn't affect women's rates.
Finding the path to success in the post-Affordable Care Act world of healthcare represents a great opportunity and challenge for payer organizations. Part of that journey is changing the relationship dynamic between payers and providers.
UnitedHealth Group subsidiary Optum will buy the administrative support services for ProHealth Physicians, one of Connecticut's largest independent physician groups.
Earlier this year, the Centers for Medicare and Medicaid Services released the results of the first year of the reinsurance and risk adjustment provisions of the Patient Protection & Affordable Care Act.
Two professional organizations representing emergency doctors warn that a new federal rule could lead to higher out-of-pocket costs for consumers when they need emergency care outside their health plan's network of providers. But consumer advocates and health policy experts say the groups' proposed solution doesn't adequately protect consumers.
Despite advice to shop around before selecting a plan, consumers may find that getting answers about drug coverage can be an exercise in frustration, despite a federal health law requirement that insurers provide lists of the prescription medications included in their plans.
As prescription drugs prices continue to drive up healthcare spending, the Centers for Medicare and Medicaid Services is creating a new online dashboard to increase transparency and address affordability.
Coloradans this fall will vote on a single-payer plan in which they would still pick their own providers, but the new system would pick up all the bills. There would be no deductibles, and fewer and smaller copays.
The data released Friday in the "Home Health Agency Utilization and Payment Public Use File" contains information on utilization, payments, and submitted charges organized by provider, state and home health resource group.
The House on Friday approved a $1.1 trillion spending bill that, with a tax package approved last week, includes changes to ObamaCare including another delay in the implementation of the Cadillac tax on high cost employer health plans.