A hospital or medical practice’s ability to swiftly and economically process claims and quantify denial rates is critical to ensure smooth revenue cycle management and medical reimbursement. The...
The Department of Health and Human Services (HHS) Secretary Sylvia M. Burwell met with President Obama to launch the Health Care Payment Learning and Action Network. An estimated 2800 payers, providers,...
One year after The Affordable Care Act’s (ACA) implementation, most physicians urge Congress to overturn the legislation after experiencing lower reimbursement, as reported in a recent physician...
Providers continue to evaluate healthcare revenue cycle and volume in relation to the Affordable Care Act (ACA). ACA’s underlying elements — Medicaid expansion and reform — are under...
Recently, the Government Accountability Office (GAO) recommended that state Medicaid agencies should mandatorily quantify improper Medicaid payments and inform the effectiveness of their electronic...
The issue of a widespread lack of Medicaid acceptance is ongoing and yet to be resolved. A short-lived increase in Medicaid payments to primary care physicians last year has not generated an increase in...
The King v. Burwell case will be formerly addressed within the US Supreme Court on March 4, 2015. The Supreme Court will hear arguments regarding the Affordable Care Act’s (ACA) future implications...
On February 23, The Blue Cross Blue Shield of Michigan (BCBSM) Foundation and Blue Cross Blue Shield of Michigan announced $200,000 in a handful of grants for Medicaid Beneficiary care access. Grants...
The Medicare and Medicaid system has evolved along with the healthcare industry.
It was a warm day on July 30, 1965 in Washington, D.C. when President Lyndon B. Johnson signed the Social Security...
Starting February 1, 2015, eligible beneficiaries will have access to affordable high-quality healthcare coverage .
Indiana has become the 28th state (including DC) to expand its Medicaid program...
Medicare and Medicaid pay less for services rendered than private insurance.
The Medicaid “fee bump” instated by the Affordable Care Act (ACA) temporarily increased the reimbursement rates...
Study determined Medicaid appointment availability directly correlated to the size of the Medicaid reimbursement increase implemented by the ACA.
The Affordable Care Act (ACA) allows many...
From 2003 to 2014, insurance premiums increased in every state in the country approximately three times more quickly than median household incomes.
A brief published by the Commonwealth Fund, a...
CMS must update the Medicare hospice payment system using the data gathered by this audit in order to meet the ACA requirements.
The Department of Health and Human Service (HHS) Office of Inspector...
A new study found that 68 percent of senior healthcare executives are predicting a stronger year ahead.
Every healthcare provider keeps a close eye on Washington. With the industry evolving quickly...
According to new reports, King v Burwell could have a major impact on healthcare, depending on the ruling.
Many experts have stated that the outcome of U.S. Supreme Court case King v Burwell will have...
Women are most impacted by unmet health needs due to financial burdens, in spite of the ongoing effort by physicians to lower healthcare costs.
Despite new provisions of the Affordable Care Act (ACA),...
Since the Affordable Care Act was implemented, there has been an increase in preventive care visit from patients.
One of the biggest pushes of the Affordable Care Act and other healthcare reform...
State officials terminated a $118.3-million contract with Hewlett-Packard for failure to implement a functional eligibility system to aid Medicaid expansion in New Jersey.
As part of the launch...
721 hospitals will face a one-percent reduction in Medicare payments from the federal government.
Despite incentives for hospitals to reduce hospital-acquired conditions (HACs), 721 hospitals will face...
