Healthcare Finance Staff

Private payer AvMed Health Plans, has recently begun working with a health system and an array of physicians in South Florida to develop a payer-provider collaboration based on a patient-centered medical home model.

The Centers for Medicare & Medicaid Services (CMS) Center for Consumer Information and Insurance Oversight (CCIIO) tapped CGI Federal Inc.  to build the government's health insurance exchange, Federal Exchange (FX).

Leavitt Partners' Center for ACO Intelligence, which tracks national and regional trends related to ACOs and other emerging care delivery systems, released a white paper Wednesday on the status of ACOs following federal health reform.

Officials at Accenture and AT&T have launched a new medical imaging solution they say will help hospitals access medical images and doctors to collaborate.

Medicare Advantage members in Pennsylvania who enrolled in a Health Quality Partners (HQP) care management program had 20 percent fewer inpatient hospital admissions, according to a report issued by Aetna on Nov. 16.

The three pillars of what's often dubbed Newt Inc. -- two for-profit groups and one defunct political committee -- raked in more than $105 million in revenue and donations from 2001 through 2010 while Newt Gingrich was eyeing a political comeback.

Health plans looking to change member behavior to produce better health outcomes need to take a multivariable approach to member engagement.

The Centers for Medicare and Medicaid Services has its work cut out in transitioning to ICD-10. As the largest payer and the force driving the new code sets in the United States, CMS has a task at least as intimidating as anyone else in implementing ICD-10.