Healthcare Finance Staff
Health insurers in Oregon, one of the nation's most competitive markets, have proposed premium rates for 2014, as most prepare for what may be even more competition in the state insurance exchange.
The Centers for Medicare & Medicaid Services has finalized medical loss ratio regulations for Medicare Advantage and Medicare prescription drug insurers, allowing some EHR and ICD-10 set-up costs to be counted as quality improvement and also a range of deductible community benefit expenditures.
A study containing mixed results of the effects of increased Medicaid enrollment in Oregon offers some caution about expectations for dramatic improvements in the health of millions of individuals from just expanding coverage across the nation in 2014, according to one of the authors of a recent study.
Federal employees with the Blue Cross and Blue Shield Association's health plan will soon have access to personalized health management tools like risk assessments, online health coaching and a 24/7 nurse advice line.
The Texas Supreme Court has denied an attempt by 14 hospitals to force the state Health and Human Services Commission to recalculate and repay the difference on past Medicaid claims.
How consolidation and integration plays out will determine if providers or payers have more influence on competition suggested experts at a conference last week sponsored by America's Health Insurance Plans (AHIP).
Utah lawmakers are considering following the rest of the country in adopting a long-term care insurance public-private partnership that encourages people to buy private long-term care insurance and offset the use of Medicaid.
A new analysis of more than 3 million claims for Medicare patients found that patients enrolled in a managed Medicare Advantage plan had better health outcomes than those senior enrolled in the traditional fee-for-service Medicare model.
With recognition that "the path through accountable care is unknown," IDC Health Insights has launched a new Accountable Care Maturity Model, designed to help healthcare organizations gauge their own status and make strategic decisions for funding business and IT initiatives.
The American Orthotic and Prosthetic Association (AOPA) is suing the Department of Health and Human Services over 2011 rule changes for prosthetic reimbursements requiring physician documentation, which the association claims is wreaking financial havoc on O&P practitioners due to prepayment audits and retroactive application.