News
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.
A new study on death rates and readmissions suggests that when it comes to treating older men for heart attacks, heart failure or pneumonia, veterans' hospitals compare well with others.
Advocate Christ Medical Center in Chicago recently unveiled its new $256 million patient tower. Several years in the making, it's an eight-story, 326,000-square-foot structure housing a new birthing center, operating rooms, women's health and critical care units.
Labib E. Riachi, MD, of Westfield, New Jersey, along with two companies that he owns and operates, has agreed to pay $5.25 million to resolve allegations that they submitted fraudulent claims to Medicare and Medicaid for diagnostic tests that were never performed, the U.S. Attorney's Office announced Friday.
Revenue cycle management company ZirMed will launch its new Remit and Deposit Management system at HIMSS16, the company said.
The Greater New York Hospital Association is pitching a $2.5 billion plan they say will ensure the financially distressed safety net hospitals throughout the state survive by paying the larger healthcare providers to integrate them into their own systems.
McKesson Health Solutions and Health QX on Wednesday announced an alliance designed to help insurers quickly design and scale complex bundled payment models.
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.
The Centers for Medicare and Medicaid Services has announced access to preferred cost-sharing pharmacies has improved, with the bottom 10 percent of plans so far this year offering access within two miles of 71 percent of urban beneficiaries. That's compared to 40 percent of beneficiaries who had similar geographic access in 2014.
Despite much hand-wringing over the size and quality of provider networks on the health insurance marketplaces, many top-notch hospitals are available in-network in marketplace plans this year, a new study found.