News
Charitable pledges to nonprofit hospitals and healthcare systems declined last year during the recession, forcing fundraisers to spend significantly more money in fiscal year 2009 than in past years to secure gifts and grants.
Robust healthcare IT systems able to specifically classify treatments based on an individual patient's profile are vital for payers in order to properly manage value-based benefits according to Mark Fendrick, co-director of the Center for Value-Based Insurance Design, and other industry experts - representing health plans, government and service providers - all speaking Monday at the AHIP Fall Forum.
Expect more noise and contention on healthcare up on Capitol Hill now that the November elections are over, experts say.
Kaiser Foundation Hospitals and Health Plan last week reported a combined total operating revenue of $11.1 billion for the third quarter of 2010, compared to $10.5 billion in the same period in 2009.
In an effort to reduce the number of improper payments under state Medicaid plans, the Centers for Medicare & Medicaid Services has proposed new rules for Medicaid's Recovery Audit Contractor program.
NextGen Healthcare Information Systems of Horsham, Pa., has announced a partnership with Philadelphia-based InstaMed to offer healthcare providers payment assurance through InstaMed's healthcare payments platform.
Janet Estep is president and CEO of NACHA – The Electronic Payments Association, a not-for-profit trade association that oversees the Automated Clearing House (ACH) Network, one of the largest electronic payments networks in the world. Estep recently took time from here schedule to discuss how NACHA can support the healthcare industry’s efforts to create an effective electronic claims and payment system
Now only a couple of months away from January 1, 2011, a recent readiness survey from HIMSS indicates that a significant portion of providers won’t be ready to begin testing HIPAA 5010 with trading partners by that date, as suggested by CMS.
One of the biggest opportunities for taking cost out of the healthcare system lies in leaving behind the old paper methods of medical claims processing and moving to electronic methods. While industry groups such as HIMSS, EHNAC, NACHA and others are actively engaged in projects to ensure this transition, it is the banks themselves that ultimately provide that vital electronic link between payers and providers.
On October 7 and 8, stakeholders including banks, employers, health plans, government, consumers, technology companies and providers convened at the Vanderbilt Center for Better Health (VCBH) in Nashville, Tenn., for the G7@HIMSS MBProject Leadership Forum, a two-day intensive roundtable discussion aimed at advancing tomorrow’s healthcare financial network.