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Payer performance improvement remained flat in 2011, according to the seventh annual PayerView rankings released today by health IT company athenahealth.
In central Pennsylvania, Capital BlueCross and PinnacleHealth recently announced an accountable care arrangement (ACA), that officials with both organizations say is similar in design to the Medicare-based accountable care organizations (ACOs) being promoted by the Centers for Medicare & Medicaid Services (CMS).
A new report from the Battelle/Biotechnology Industry Organization shows that U.S. jobs in the biosciences industry are booming.
In its June 2012 report to Congress, the Medicare Payment Advisory Commission (MedPAC) focused on three areas: Medicare benefit design, care coordination for fee-for-service (FFS) Medicare and care coordination for those dually-eligible for Medicare and Medicaid.
Do you know what you do best? Traditionally, that's a question many healthcare providers may not ever have bothered to ask themselves. That's because under the fee-for-service model which has shaped healthcare in this country for years, providers really haven't needed to know which parts of their practices were the most efficient or resulted in the highest health outcomes. Just so long as they were compensated for the services they provided.
Healthcare providers are being told they need to change the way they deliver their services, and payers are being told they need to change the way they reimburse providers. One way to help bridge the divide is for payers to develop effective strategies and programs to deliver value-based reimbursement programs.
Payers who want to affect the change needed to revamp the healthcare delivery system will need to forge closer relationships with providers, be engaged more with members to help them manage their health, and create better alignment with the government said three health plan executives Thursday at AHIP Institute 2012 in Salt Lake City.
To observers and stakeholders alike, "innovation" may be the watchword that best sums up the mindset across much of the healthcare sector these days. One place where that innovation is beginning to take place is in the new partnerships being formed between providers and payers..
Thinking about working with a lobbyist? Most lobbyists will be quick to point out their value. So here are some things to consider if you’re thinking about hiring a lobbyist or if you already work with lobbyists and want to enhance your relationship.
Changes in the implementation of medical therapy management create improvement in care and controlling costs explained Rick Solano during a presentation Wednesday at the AHIP Institute. He shared those session insights in an interview with Healthcare Payer News/Healthcare Finance News contributing writer Jeff Rowe.