Healthcare Finance Staff
A professional nurses organization announced Thursday that they would like to be included in the ongoing debate over healthcare reform.
As the first in a series designed to reach out to states and
regions across the country, Health and Human Services Secretary Kathleen Sebelius will welcome Sen. Sheldon Whitehouse (D-R.I.) for a live video chat at 5:30 p.m. EDT today.
Traditional disease management has historically been treated and tracked by condition with separate departmental IT systems.
The rise in co-morbidities – with obesity being one of the main drivers – is requiring payers to implement fully integrated, patient-centric IT systems to determine which multiple management programs best meet a patient's needs, said Lynn Dunbrack, program director for Health Industry Insights.
Prior to the 2008 passage of the Long-Term Care Community Choices Act, Tennessee was spending 99 percent of its Medicaid long-term care dollars on nursing homes instead of home-based services.
One of the largest TennCare managed care organizations in the state is replacing its care management software to enable its transition to full implementation of the program by March 2010.
CareFirst BlueCross BlueShield's $100 million integrated claims system and supporting software implementation was completed last August on budget and within a year of rollout.
"It was one of the smoothest, quickest implementations we've had," said Etta Maguire, senior director at CareFirst BCBS.
Independence Blue Cross (IBC) plans to increase the type and sophistication of clinical alerts that it has been delivering to its network physicians since April.
The regional Blues plan is moving to the next phase amid positive feedback it has been getting from physicians that the alerts are valuable.
Lansdale, Pa.-based Green and Seidner Family Practice has focused on gaps in colon cancer screenings, pap smears and mammograms, said Barry Green, MD.
At a rally for health insurance reform Tuesday in Washington, Health and Human Services Secretary Kathleen Sebelius discussed a new report highlighting the insurance hardships faced by people with cancer.
Three out of every four insurance claims from healthcare providers are being submitted electronically to AmeriHealth New Jersey – an increase of 50 percent over the past three years, according to the New Jersey-based insurer.
Shared Health is slated to begin rolling out in December a solution that would give Mississippi Medicaid providers a Web-based electronic health record system and e-prescribing capability.
America's Health Insurance Plans has contracted with MedAssurant, Inc., a Bowie, Md.-based data solutions provider, to provide data analytics services.