Healthcare Finance Staff
The Affordable Care Act's medical loss ratio (MLR) will bring 8.5 million insurance customers about $500 million in rebates this summer and hopefully drive more competition in the long run, federal health officials said Thursday.
Unexpectedly tasked with operating an insurance exchange in 34 states, the Centers for Medicare & Medicaid Services is mostly on track to have the federal data services hub running in October, according to the Government Accountability Office.
Amid sporadic news of employers cutting workers' hours apparently to avoid Affordable Care Act requirements, two U.S. senators want to amend the law to redefine full-time as 40 hours per week.
Testing for ICD-10 could cost big money, but failing to test could cost more, according to Mark Lott, CEO of Lott QA Group and coordinator for the HIMSS WEDI National Pilot Program.
Out-of-pocket costs for bronze-level individual health plans under the Affordable Care Act may be higher than current plans on the market, according to a study by HealthPocket.
The Centers for Medicare & Medicaid Services published a proposed rule Wednesday that establishes financial integrity standards to oversee qualified health plans (QHPs) offered in health insurance exchanges and for states around their operation of risk adjustment and reinsurance programs under the Affordable Care Act.
The Food and Drug Administration has relaxed certain requirements for using fecal microbiota therapy in Clostridium difficile infections, a decision that may encourage payers to consider coverage options for the treatment.
Patients are responsible for nearly one-quarter of their medical bill on average through the cost of co-pays, deductibles and co-insurance, according to the latest National Health Insurer Report Card from the American Medical Association (AMA).
Nontraditional care delivery models, such as accountable care organizations (ACO), patient-centered medical homes (PCMH) and shared-savings programs, have been gaining traction in the healthcare arena, with more than half of physicians and other industry professionals now participating in these programs, according to new survey findings released Monday.
National Coordinator for Health Information Technology Farzad Mostashari, MD, spoke with Healthcare IT News Senior Editor Diana Manos Monday at the HIMSS Media ICD-10 Forum in National Harbor, Md. With his typical candor and energy, Mostashari commented on several healthcare IT issues and about ICD-10 – the focus of the forum and the topic of the keynote talk he had delivered earlier in the day. Yes, he was wearing his signature bow tie.