Healthcare Finance Staff
The latest insurer to follow a market for employer defined contribution plans, Blue Cross and Blue Shield of Kansas City is creating a health insurance exchange for its large group customers with the help of the tech firm Benefitfocus.
As the federal government gets ready to approve, or maybe reject, state demonstrations for providing Medicare-Medicaid eligible Americans with better, more cost-effective care, a new study suggests that large savings will be elusive without specialized models and some improvisation.
Ohio uncertain of whether to use federal fallback exchange; Illinois to pursue state-federal exchange venture; and CMS rolls out exchange simulations in this week's HIX Digest.
America's Health Insurance Plans (AHIP) announced Monday the launch of a new interactive iPad app. AHIP officials say the app, "U.S. Health Care Spending 101," is meant to provide policymakers and stakeholders with comprehensive healthcare spending data in an easy-to-use digital format.
National Medicaid enrollment, spending down; Pennsylvania to allow 100K families booted from Medicaid back into program; and South Carolina's enrollment projection may be too low in this week's Medicaid Digest.
The use of electronic health records is linked to significantly higher quality care, according to a new study by Lisa Kern and her team, from the Health Information Technology Evaluation Collaborative in the US. Their work appears online in the Journal of General Internal Medicine, published by Springer.
Health plans are heading toward 100 percent participation in accountable care organizations (ACOs), according to a new study, with 78 percent of respondents already part of one, and 22 percent planning to participate in one. This is all leading to a scramble for health IT.
Tennessee health officials have drafted a plan aimed at helping low income families maintain a continuity of care with health coverage shared through Medicaid and partial insurance.
The U.S. Department of Health and Human Services last week filed a proposed settlement in the class-action lawsuit, Jimmo vs. Sebelius, which challenged the long-standing "improvement standard," which the lawsuit contends illegally denies Medicare benefits for a range of skilled nursing and home health services.
St. Louis-based Centene announced reduced earnings in its third quarter report, citing losses associated with retroactive member assignments in a Kentucky Medicaid managed care contract it's now seeking to terminate.