Healthcare Finance Staff
More than 2,400 doctors, nurses and health advocates sent a letter this week to Department of Health and Human Services Secretary Kathleen Sebelius protesting what it sees as conflicts of interest and the potential for inadequate insurance coverage based on the Institute of Medicine's recommendations to HHS on essential health benefits.
Private payer AvMed Health Plans, has recently begun working with a health system and an array of physicians in South Florida to develop a payer-provider collaboration based on a patient-centered medical home model.
The Centers for Medicare & Medicaid Services (CMS) Center for Consumer Information and Insurance Oversight (CCIIO) tapped CGI Federal Inc. to build the government's health insurance exchange, Federal Exchange (FX).
Leavitt Partners' Center for ACO Intelligence, which tracks national and regional trends related to ACOs and other emerging care delivery systems, released a white paper Wednesday on the status of ACOs following federal health reform.
Why is a major health insurer conversing with hospital systems in Pennsylvania to discuss performance on quality measures? They are discussing reimbursement incentives as participants in Highmark Inc.'s QualityBLUE pay-for-performance program.
Officials at Accenture and AT&T have launched a new medical imaging solution they say will help hospitals access medical images and doctors to collaborate.
Medicare Advantage members in Pennsylvania who enrolled in a Health Quality Partners (HQP) care management program had 20 percent fewer inpatient hospital admissions, according to a report issued by Aetna on Nov. 16.
The healthcare industry's implementation of HIPAA 4010 was the first time it attempted to standardize transactions between providers and payers. And there were a lot of lessons to be learned. CMS has corrected some of the issues, and as a result, HIPAA 5010 implementation has been smoother.
The three pillars of what's often dubbed Newt Inc. -- two for-profit groups and one defunct political committee -- raked in more than $105 million in revenue and donations from 2001 through 2010 while Newt Gingrich was eyeing a political comeback.
Health plans looking to change member behavior to produce better health outcomes need to take a multivariable approach to member engagement.