Healthcare Finance Staff
MEDecision published an e-book Tuesday, Medical Loss Ratios: Important Implications for Care Management, which examines the impact new Health and Human Services mandates will have on care delivery models - and explores the critical role of health IT as health plans work to meet the new requirements.
Insurers have drawn the ire of government officials by announcing that the new health care law would force them to raise premiums. "I want health insurance companies to be transparent and honest when increasing premiums," Sen. Jay Rockefeller, D-W.Va., declared.
Paul LePage, Maine's new Republican governor, has submitted a supplemental budget to the Legislature that includes paying back nearly $250 million owed to hospitals for overdue Medicaid charges.
"It's purely a very fiscally responsible budget," LePage said during a Thursday press conference releasing the budget. "It addresses fiscal responsibility, saving jobs in healthcare and simplifying the tax codes."
The Kansas Academy of Family Physicians (KAFP) has launched a patient centered medical home initiative involving eight practices, which will run over the next three years.
Patients are finding it hard to research their primary care doctors, according to a new survey, which finds that they're currently often making a choice about a PCP based on location, or what they find on their insurance company's website.
The Centers for Medicare & Medicaid Services (CMS) has awarded CGI Federal Inc., a wholly-owned U.S. operating subsidiary of CGI Group, a competitive, five-year task order worth $55 million.
Accenture and Plexis have announced a joint solution to optimize the efficiency, cost, and reliability of Medicaid Management Information Systems (MMIS).
The payer market is largely split with regard to readiness for the January 1, 2011 Level 1 compliance deadline, according to a December 2010 poll by The Gantry Group, LLC.
I've never been one to make predictions as so many are wont to do at the beginning of a new year. As I see it, making predictions only leads to two possible outcomes: being spectacularly wrong or being spectacularly lucky.
That said, I'm going to break with my instincts and make one prediction for 2011: There will be no Medicare doc-fix of the severely broken Sustainable Growth Rate (SGR) formula this year.
Better Health, LLC, a provider service network, has announced a new healthcare plan called Miami Children's Better Health, in collaboration with Miami Children's Hospital.