Healthcare Finance Staff
A new study, reported in the American Journal of Managed Care, seems likely to add more heat to the continuing medical loss ratio controversy. The Accountable Care Act effectively mandates that health insurers achieve MLRs of 85 percent for large group business and 80 percent for small group and individual business, with insurers not meeting these thresholds required to make rebates to affected policyholders. However, the ACA allows HHS to issue a waiver if the requirement would disrupt a state's insurance market.
The Council of Accountable Physician Practices, an affiliate of the American Medical Group Association, has announced a new public education program aimed at providing resources and information about the value of care coordination and accountable care to national healthcare reform.
CHANDLER, AZ - The Managed Care Executive Group, a national organization of U.S. senior health plan executives, met last week in Arizona to discuss the top issues that health plans face in 2011.
Kindred Healthcare has acquired the California operations of CareSouth HHA Holdings.
Health Care REIT, a Toledo, Ohio-based real estate investment trust, has completed the $2.4 billion acquisition of privately-owned Genesis HealthCare, which was originally announced in February.
The Iowa Health System, a seven-hospital system based in Des Moines, is considering a strategic partnership with Methodist Health Services of Peoria, Ill.
Humana Cares recently launched a pilot project aimed at better care for members with congestive heart failure.
Universal Hospital Services, a provider of medical equipment management and service solutions, has completed its acquisition of the Emergent Group and its wholly owned subsidiary, PRI Medical Technologies, a provider of mobile medical lasers and surgical equipment.
The Arizona House approved a measure to restore Medicaid funding for organ transplants and the state Senate was expected to also approve the measure. Governor Jan Brewer took heavy criticism for cutting the money from the sate budget late last year, as the state grappled with a crushing budget deficit.
Merger and acquisition activity in the health care industry's service sectors burgeoned in 2010 as the impact of the credit crunch and Great Recession on the economy began to fade says the seventeenth edition of Irving Levin Associates' "The Health Care Services Acquisition Report."