Healthcare Finance Staff
Aetna launched its first accountable care organization for Medicare Advantage patients in 2007, before the Affordable Care Act expanded ACOs and before U.S. healthcare had really conceptualized "patient engagement," the flip side of provider accountability.
The 19-hospital Bon Secours Health System has teamed up with health insurance giant Aetna on a new accountable care agreement that officials say will support some 57,000 fee-for-service Medicare beneficiaries across five states.
Some senior citizens may be getting over-vaccinated, according a study by the Department of Health and Human Services' Office of the Inspector General (OIG).
While consumers indicated in a recent survey that they like the bundled care model, a new survey on provider attitudes towards bundles finds mixed reviews.
Insurers will offer consumers more choices for individual health plans than they do now when state-based health insurance exchanges open for enrollment in October, according to an analysis from the Robert Wood Johnson Foundation (RWJF). The increased competition may also drive down prices.
Two Congressmen are calling for an inspector general investigation of the Centers for Medicare & Medicaid Services' durable medical equipment competitive bidding, after reports of contracts awarded to companies not in compliance with program guidelines.
A recent study published in the Medicare & Medicaid Research Review concludes that use of ambulatory EHRs by community providers resulted in both higher and lower Medicaid costs.
You'd be forgiven for thinking revenue cycle management technology is a bit, well, boring. You'd also be wrong. The coming years are going to see some big changes in the way hospitals get paid -- and the IT they use to track when and how they get paid is going to have to change as well.
Arizona Governor Jan Brewer has signed a law requiring providers to publicly display the prices of their most common services and changing the state's Medicaid reimbursement methodology.
Major changes driven by the Affordable Care Act and rising consumer cost-sharing are slowing the rise in the healthcare growth rate, now projected at 6.5 percent in 2014, a full percentage point from the 7.5 percent predicted for this year, according to PwC's Health Research Institute (HRI).