Healthcare Finance Staff
The Internal Revenue Service has published the final rule for the individual mandate, one of the most controversial elements of the Affordable Care Act, adding more detail and clarifying some areas around what comprises minimum essential coverage and the shared responsibility to obtain health insurance.
Spurred by current regulatory trends, large North American healthcare organizations can expect to pay $34.5 billion for health IT next year.
Some of Alabama's bonus payments for CHIP deviated from federal requirements and should be repaid, according to the U.S. Department of Health and Human Services' Office of the Inspector General.
More than 75 percent of healthcare costs are due to chronic conditions. Although chronic diseases are more common among older adults, they affect people of all ages and are now recognized as a leading national health concern. While we know that chronic disease is most effectively managed through frequent, near-continuous monitoring, there are pervasive problems with the quality of chronic disease care.
Accountable care organizations (ACOs) may actually be the unicorns we've been waiting for, spreading their cost-saving magic throughout the health system.
The CEO of Mobile Doctors, a Chicago-based service offering house calls in six states, was arrested on charges of fraudulently overbilling Medicare. One of the company's physicians was also arrested for making false statements about health benefits.
The healthcare cooperative in Arizona is preparing to sell 30 different health plans through the insurance exchange this fall, after it was rebranded earlier this summer.
Pennsylvania healthcare organizations Highmark and UPMC have been litigating for some time, amid a contract set to end in 2014, and now a series of advertising campaigns has brought the governor into the debate.
A Michigan pilot to bring primary care to the home for patients living with advanced chronic illness will now spread across the state. Priority Health, a Michigan-based nonprofit health plan, tested the concept last year with Spectrum Health Medical Group for 90 of its patients.
To highlight the importance of consumer engagement by payers, a health rewards company has ranked health insurers based on how they got members involved in their daily health through the use of mobile tools and social media.