News
Wellpoint Inc. announced yesterday that second quarter net income totaled $701.6 million, including after tax investment gains of $21.5 million, a drop of 3 percent from the $722.4 million of income the company recorded in the second quarter of 2010.
The American Academy of Family Physicians is warning its members that there may be a delay in the receipt of Medicare payments if an agreement on raising the federal government's debt ceiling is not reached by the Aug. 2 deadline.
State health insurance exchanges, to be built by 2014 under the Affordable Care Act (ACA), may prove to be good for vendors who provide consulting services on how to make customer service available on health plan websites, experts say.
All healthcare spending in the United States is projected to grow at an annual average rate of 5.8 percent for the period 2010 through 2020, according to a report released by the Centers for Medicare and Medicaid Services.
Insurers' investments in health IT have not yielded the personalized service customers crave, according to a new survey from global consulting firm Accenture.
The trend of primary care physicians earning lower wages for their services compared to specialists is not tied to the number of hours they work, according to research published in the Archives of Internal Medicine last month.
To make real progress in healthcare fraud prevention, both government and private payers must integrate fraud risk controls at the front end of their claims payment workflow processes. The most effective fraud detection programs use a layered approach to analyzing claims that includes analytics that focus on identity integrity, claims legitimacy and relationships.
In diverse communities like Philadelphia, healthcare providers treat an array of patients. In an effort to provide the best care for each individual, and to help them participate in the process, Jefferson University Hospitals' Family Medicine Associates has been working to provide multicultural care by "systemizing" its practice.
Highmark's efforts to acquire struggling hospital operator West Penn Allegheny Health System has brought into sharp focus the acrimonious relationship between the insurer and the region's dominant hospital operator, University of Pittsburgh Medical Center.
Most accountable care organizations, spurred by the Medicare Shared Savings Program, are taking four different approaches to creating new payment models, according to a new report sponsored by the Commonwealth Fund.