Healthcare Finance Staff
The Centers for Medicare and Medicaid Services has opened the doors to its innovation center, where it plans to test models of coordinated care for patients as well shared payments for healthcare providers in various real-world settings.
Healthcare providers tend to lean toward vendors they know when looking for help with their RAC audits, according to a new report from research firm KLAS.
Patient Privacy Rights, the health privacy watchdog, has enlisted the help of Zogby International to conduct an online survey of more than 2,000 adults to identify their views on privacy, access to health information, and healthcare IT.
The 120 network hospitals and 30-plus physician groups participating in Blue Shield of California's (BSC) claims transparency program continue to reap shorter claims cycle times and fewer denials, resulting in significant savings.
Nuance Communications announced Wednesday that the Institute for Clinical Systems Improvement (ICSI), a nonprofit organization made up of 60 medical groups and six health plans throughout Minnesota and surrounding states, has licensed its RadPort decision support technology to help ensure patients only receive medically appropriate diagnostic imaging tests.
Robust healthcare IT systems able to specifically classify treatments based on an individual patient's profile are vital for payers in order to properly manage value-based benefits according to Mark Fendrick, co-director of the Center for Value-Based Insurance Design, and other industry experts - representing health plans, government and service providers - all speaking Monday at the AHIP Fall Forum.
The U.S. Department of Veterans Affairs (VA) has awarded QuadraMed a five-year, $211 million contract to implement its Quantim coding, compliance and abstracting solution.
The Department of Health and Human Services (HHS) has announced 40 percent more funding to support states in streamlining and upgrading their Medicaid eligibility systems and health insurance exchanges.
The Centers for Medicare & Medicaid Services has issued a final rule that will implement key provisions in the Affordable Care Act to expand preventive services for Medicare beneficiaries.
IBM has created a new Federal Community Cloud designed to help government organizations, such as the Department of Health & Human Services, respond to technology requirements more quickly and at lower cost.