Policy and Legislation

Real-time claims processing can result in financial benefits, so healthcare technophobes need to get on board.

A bipartisan draft bill proposes a solution to the troublesome SGR formula but doesn't offer a way to pay for it and leaves some in the industry "disappointed."

Policy solutions have the potential to create a better system of care for geriatric patients.

If the states not expanding Medicaid under the Affordable Care Act stay with their decision, those state governments will collectively spend $1 billion more on uncompensated care in 2016 than they would have had they expanded Medicaid, says a recent RAND Corporation study.

Last week the President waded directly into the national debate over "ObamaCare" by calling a big media event in the East Room of the White House to talk about the $100 rebates a small percentage of potentially eligible people are getting under the new health law.

The adage of everything old becomes new again is proving true. Physician house calls are making a comeback and disrupting today's healthcare system.

CMS' Pioneer Accountable Care Organization Model requires a degree of patience that many of the participating organizations couldn't afford, as evidenced by the recent announcement that nine are leaving the program.

Community Health Systems has reduced its second quarter earnings forecast and announced it has received another subpoena related to an ongoing Department of Justice investigation into the hospital operator's admissions practices.

It's not surprising that the average person is pretty confused about the Affordable Care Act. It's a complex piece of legislation that gets phased in gradually, and opponents have been attacking the law and intentionally confusing people while proponents have been less effective about getting the word out.

Driven in no small part by the Affordable Care Act, the healthcare industry needs a solution that coordinates and unifies providers and payers across the entire care continuum. At least one clear answer to that challenge has emerged: Medicaid Health Homes.