Healthcare Finance Staff

As health organizations begin to feel their way toward accountable care models, a new report from KLAS explores how providers and vendors are putting the pieces together, finding varying levels of confidence in IT solutions' integration ability.

With the ICD-10 transition deadline now just two years away, providers and payers have finally begun tackling the project in earnest, according to a new survey from the American Health Information Management Association (AHIMA), which shows 85 percent of organizations either planning for or implementing ICD-10 coding.

A new health research initiative called the Health Care Cost Institute was launched Tuesday, providing researchers and policymakers access to medical claims data from four major insurers and the federal government in order to offer new insights into healthcare costs, utilization and intensity.

While many in the industry liken the ICD-10 compliance date to flipping a switch, there will be a tricky subset of claims that "span the implementation date."

Throughout his career – as a pediatrician, Harvard professor and now CMS administrator – Donald Berwick has been a fan of quality guru W. Edwards Deming.

The wild attacks on Social Security by Republican presidential candidates including Rick Perry's famous characterization of the program as "a Ponzi scheme" are amusing, but are a serious distraction from the real fiscal issues facing the country.

Medicaid health plans will need to pay more attention to waste, abuse and fraud as federal and state agencies step up scrutiny to cut incorrect payments and reduce costs.

During the health care debate, the Mayo Clinic, the Cleveland Clinic, Geisinger Health System and Intermountain Healthcare were repeatedly touted as models for a new health care delivery system.

Two-thirds of low income individuals who receive Medicaid are enrolled in comprehensive managed care programs, including risk-based managed care organizations (MCO) and primary care case management programs.