Healthcare Finance Staff

Since Geisinger Health Plan began predictive modeling for Health Navigator, its medical home program, nearly two years ago, the payer has seen a decrease in hospital admissions for its high-risk members in disease and case management. The case management team is now applying program resources to its moderate risk and well segments of its membership.

The Centers for Medicare and Medicaid Services announced it has posted new ratings on 4,000 hospitals on its "Hospital Compare" Web site, including new mortality and readmission data. According to the new data, CMS estimates that the national 30-day mortality rate for patients originally admitted for heart attack care is 16.6 percent. For heart failure patients, the national 30-day mortality rate is 11.1 percent, and for pneumonia patients the national rate is 11.5 percent.  

President Obama's healthcare IT chief David Blumenthal, MD, was on hand Friday as Maine announced it will go live this summer with the country's largest statewide health information exchange.

Interview with Susan DeVore, president and CEO of Premier, Inc., located in Charlotte, N.C.

Commentary by David A. Myrice, CPA, MBA, senior finance manager with CBIZ – MMP.

Commentary by William Spratt, a Florida Bar board-certified healthcare attorney, and former healthcare administrator.

The Washington State Department of Social and Health Services is collaborating with Ingenix to help fight Medicaid fraud.

Independence Blue Cross is providing digital alerts to physicians and specialists through a new messaging tool called Clinical Alerts.

According to the July Kaiser Health Tracking Poll, the public still supports taking action on health reform, though criticism and doubts are surfacing.

Rising Medical Solutions, Inc., has launched a new online portal designed to help payers, patients and providers better understand healthcare transactions.