News
Our weekly look at career moves in the healthcare finance sector. This issue highlights promotions, hires and fires for the week ending December 6, 2013.
In one of the strangest Medicaid fraud cases in recent history, the Justice Department is charging several Russian diplomats and their families with illegally accessing Medicaid-covered prenatal and pediatric care in New York City.
In November, national employment rose by 203,000 with the healthcare sector among those with the strongest gains.
As hospitals continue to get squeezed by new Medicare penalties and shrinking reimbursements from private insurers, many are looking for ways to make up for that missing revenue, including picking up the insurance tab for poor patients as a means of collecting on bad debt.
Existing market share has been a fairly good predictor of health plan participation in the federal exchange, although new entrants like CO-OPs may give some a run for their money, according to a Milliman report.
A key component to making value-based payment models work is getting physicians on board. But while physicians are supportive of the improved care coordination of such models, they are wary of how the payment structure will work.
Aetna has formed an accountable care organization with PinnacleHealth System for its commercial plan members in the Harrisburg-Central Pennsylvania area, one of multiple value-based models launched recently in the state.
Existing market share has been a fairly good predictor of health plan participation in the federal exchange, although new entrants like CO-OPs may give some a run for their money, according to a Milliman report.
LifePoint Hospitals, headquartered in Brentwood, Tenn., acquires the struggling Bell Hospital and forms a joint venture with Portage Health.
A key component to making value-based payment models work is getting physicians on board. But while physicians are supportive of the improved care coordination of such models, they are wary of how the payment structure will work.