Healthcare Finance Staff
Massachusetts has tentatively selected six organizations to participate in a three-year, capitated payment model demonstration for dual eligible patients.
Humana Inc. on Monday announced third quarter 2012 earnings of $2.62 per share that were slightly lower than its earnings for $2.67 for the same period last year. Nonetheless, the company's third quarter performance beat both the company's internal guidance and bettered by a sizable margin Wall Street analyst estimates of $2.05 for the quarter.
With 20 percent of the state uninsured, Nevada's state exchange is aiming to offer affordable coverage and be financially self-sustaining, while neighboring California takes bids for its HIX, and insurers and state officials await a post-election rule-making flood from Washington.
The National Quality Forum (NQF) announced nov. 5 it has endorsed 10 behavioral health quality measures, addressing alcohol and tobacco abuse, antipsychotic medication adherence, and post care follow-up after hospitalization for mental illness.
The Government Accountability Office (GAO) has found that Medicare-covered advanced imaging services increased between 2004 and 2010, and that unecessary provider self-referrals cost $109 million in 2010.
UnitedHealth exits S.C. Medicaid market; Vermont urges state workers to enroll their kids in CHIP; and Washington Medicaid will cover autism therapy in this week's Medicaid Digest.
I don't see a lot of physicians who are fans of ICD-10 implementation. I can understand why physicians don't see a lot of upside to ICD-10 coding - just costs.
Washington State has received federal approval to test a managed fee-for-service model for Medicaid-Medicare eligible patients in a demonstration that is expected to save up to $14 million over the next five years.
Many states are lagging in how they measure and collect eligibility and enrollment information and could benefit from more streamlined coding sets, according to a policy brief by the Maximizing Enrollment project, led by the Robert Wood Johnson Foundation.
A new global study by the IMS Institute for Healthcare Informatics shows that the use of healthcare IT to increase medication adherence could be a key factor in saving some $500 billion in healthcare spending worldwide.