Healthcare Finance Staff
One of the largest recent security breaches of personal health information (PHI), involving 280,000 individuals, is on the surface a "pretty low-risk scenario," says one privacy expert.
Forty-nine percent of payers questioned believe that Value-Based Insurance Design is the most effective way to improve the performance of Disease Management (DM) and Wellness programs. This, according to a late summer poll conducted by the Gantry Group LLC in conjunction with Healthcare Payer News.
The use of social networking in healthcare is fostering greater online collaboration that can lead to improved health outcomes and drive down costs, according to a new report from the Healthcare Performance Management (HPM) Institute.
HealthPartners, the nation's largest consumer-governed, nonprofit healthcare organization, has launched virtuwell.
Aided by its electronic health record system, Kaiser Permanente of Georgia has the highest breast cancer-screening rate for eligible women ages 42 to 69 among the health plans reporting to the National Committee on Quality Assurance (NCQA).
"Is HITECH working?" That was the question posed by Vince Kuraitis, principal of Better Health Technologies, at the Mobile Health Expo in Las Vegas on Wednesday.
The Department of Justice has filed a civil antitrust lawsuit against Blue Cross Blue Shield of Michigan, alleging that provisions of its agreements with hospitals raise hospital prices, prevent other insurers from entering the marketplace and discourage discounts.
The nation could save about $3.5 trillion over the next 25 years by expanding coordinated care programs in Medicare and Medicaid, according to a new analysis by the UnitedHealth Group's Center for Health Reform & Modernization.
HP Enterprise Services has been awarded a task order worth up to $26 million by the Centers for Medicare & Medicaid Services (CMS) to maintain its Integrated Data Repository (IDR) and provide data quality services to improve the accuracy of Medicare payment data.
Information technology and data mining capabilities had a role in dismantling what authorities are calling the largest Medicare fraud scheme ever, involving 73 members and associates of organized crime and more than $163 million in fraudulent billing.