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By Healthcare Finance Staff | 09:48 am | January 02, 2014
Pennsylvania is asking the federal government to experiment with a range of healthcare delivery and payment reforms, and Medicaid is being eyed as a good fit for the patient-centered medical home.
By Stephanie Bouchard | 12:09 pm | December 31, 2013
A new actuarial analysis of general and professional liability claim costs for long-term care facilities suggests that the years of flat claims frequency are over.
By Anthony Brino | 12:01 pm | December 31, 2013
The California Department of Managed Health Care is trying to end the practice of emergency care "balance billing," just as thousands of new HMO members are being created.
By Healthcare Finance Staff | 11:27 am | December 31, 2013
Call 2013 the time that ICD-10 stood still. Certain facets of the industry may actually be less prepared than last January, while some organizations made industry-leading strides.
By Healthcare Finance Staff | 11:24 am | December 31, 2013
It's been rare that state credit ratings have been driven by Medicaid budgets, but that could be changing. 
By Healthcare Finance Staff | 11:13 am | December 31, 2013
Despite the noise around the higher cost of some health plans on the exchanges, rate increases generally have more to do with the trend of steadily higher medical costs than with provisions of the Affordable Care Act.
By Kelsey Brimmer | 10:57 am | December 31, 2013
Abbott Laboratories has agreed to pay the United States $5.475 million to resolve allegations that the company violated the False Claims Act by paying improper kickbacks to induce doctors to use some of its products.
By Healthcare Finance Staff | 10:57 am | December 31, 2013
Global pharmaceuticals and healthcare products company Abbott Laboratories has agreed to pay the United States $5.475 million to resolve allegations that the company violated the False Claims Act by paying improper kickbacks to induce doctors to use some of its products.
By Healthcare Finance Staff | 10:34 am | December 31, 2013
President Barack Obama gave doctors a holiday gift of sorts at the end of the year when he signed the Pathway for SGR Reform Act, sparing physicians and other practitioners who treat Medicare patients from the 24 percent payment reduction previously slated to take effect the first of the year.
By Healthcare Finance Staff | 09:30 am | December 31, 2013
Humana and Minnesota-based Healthsense, a provider of aging services technologies, have enrolled Medicare members with chronic health conditions in a pilot to measure the impact that in-home sensors and remote monitoring technology have on improving health outcomes and reducing frailty and fall-related hospital admissions.