Susan Morse
For the first time, the Centers for Medicare and Medicaid Services and America's Health Insurance Plans have announced standard quality measures among payers, a move designed to reduce confusion and complexity for reporting providers.
Kaiser Foundation Health Plan, Inc., Kaiser Foundation Hospitals and their subsidiaries reported a $1.2 billion decrease in profit year over year, according to their 2015 annual and fourth quarter financial results.
Health insurers who sold plans through the marketplaces in 2015, and who covered high cost individuals can expect to get $7.7 billion this year through the federal reinsurance program established under the Affordable Care Act, the Centers for Medicare and Medicaid Services announced Feb. 12.
In a recent study, Truven Health Analytics found more than a $10,000 price variation in bundled spending for knee and hip replacement, depending on geography.
Physicians need to have and share analytical information to deliver quality care that drives down costs. But too often valuable findings aren't making it to the right people, according to Deloitte's Dorrie Guest.
Twenty major companies, including American Express, Verizon, Coca-Cola and HCA have joined the newly-launched Health Transformation Alliance to combine data on the population health of their employees, and potentially flex their muscle with insurance companies and big pharma, according to Tevi Troy, president of the American Health Policy Institute.
The last-minute surge lifted the total enrollment in Obamacare to 12.7 million this year, accounting for 9.6 million consumers enrolled or re-enrolled for coverage through Healthcare.gov and the 3.1 million people who selected plans through the state-based marketplaces.
As patient financial responsibilities continue to increase, providers must both adopt and adapt to new technologies and strategies to help patients meet their obligations, or suffer a potentially calamitous drop-off in collections, according to Lah, who has over 30 years of experience in healthcare operations.
Former Turing CEO Martin Shkreli on Thursday invoked his Fifth Amendment rights while members of a Congressional committee grilled pharmaceutical executives about the high price of prescription drugs.
As of February 2, 67 rural hospitals have closed nationwide since 2010 and another 210 are on the brink, according to a study by iVantage Health Analytics.