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By Richard Pizzi | 11:20 am | July 05, 2011
Three northeast Ohio health systems have created a for-profit company to aid the success of joint ventures in a competitive healthcare market.
By Rene Letourneau | 10:50 am | July 05, 2011
In its June Health Tracking Poll, Kaiser Family Foundation found that Americans generally do not have confidence in Congress or private insurers to keep Medicare financially sound.
By Rene Letourneau | 10:08 am | July 05, 2011
The Department of Health and Human Services (HHS) awarded more than $352 million to continue improving the disaster preparedness of hospitals and healthcare systems around the nation.
By Healthcare Finance Staff | 12:00 am | July 02, 2011
Louisiana's Making Medicaid Better initiative announced that it had received proposals from 12 separate entities to become coordinated care networks under the state's effort to remake its insurance program for the poor. Among the 12, three companies proposed a shared savings network model while nine proposed a pre-paid network structure.
By Healthcare Finance Staff | 01:05 pm | July 01, 2011
Finding ways to create a payment model that rewards high-quality outcomes, reduces avoidable costs and protects payer and provider margins is the ultimate goal of those working to reform the healthcare system today. That was the focus of a recent education session, "Bridging the Payer and Provider Gap: Creating a Shared-Savings Payment Model for Increased Quality and Efficiency," at HFMA's ANI conference and exhibition held at the Gaylord Palms Resort in Orlando, Fla., June 26-29.
By Stephanie Bouchard | 10:59 am | July 01, 2011
A 2010 Government Accountability Office survey of physicians who serve children found that physicians have a harder time referring their pediatric patients in Medicaid and the Children's Health Insurance Program (CHIP) to specialty care than they do when they refer children covered by private insurance.
By Rene Letourneau | 05:24 pm | June 30, 2011
The Department of Health and Human Services (HHS) took the first steps to implement an Affordable Care Act provision that cuts red tape in the healthcare system and saves an estimated $12 billion over the next ten years.
By Bernie Monegain | 03:19 pm | June 30, 2011
New models for reimbursing physicians that put a greater financial risk on the medical practice is the No. 1 challenge in a list of five concerns that weigh most heavily on practice administrators, according to new research from the Medical Group Management Association.
By Stephanie Bouchard | 11:43 am | June 30, 2011
A U.S. appeals court in Cincinnati upheld the individual mandate of the Patient Protection and Affordable Care Act on Wednesday. The ruling was the first to address the constitutionality of the healthcare reform act's requirement that everyone purchase health insurance or be penalized.
By Healthcare Finance Staff | 11:29 am | June 30, 2011
Leaders of healthcare systems, hospitals and healthcare payers are on the fence when it comes to their participation in the Centers for Medicare and Medicaid Services' shared savings program (MSSP) - the Medicare ACO program - according to a recent poll led by KPMG LLC.