Healthcare Revenue Cycle Management, ICD-10, Claims Reimbursement, Medicare, Medicaid

Affordable Care Act

Primary Care Providers Benefit from Large ACA Donations

by Sara Heath

The Department of Health & Human Services (HHS) has allocated $500 million in Affordable Care Act (ACA) funding to aid health centers and increase primary care services, according to a recent press release. The goal of this funding matches...

HHS Proposes Rule Endorsing Nondiscriminatory Gender Equity

by Jacqueline DiChiara

The Affordable Care Act’s (ACA’s) handling of civil rights matters is under fresh review. The Department of Health and Human Services (HHS), seeking to advance health equity under the ACA, issued a proposed rule last week –...

JPandS Talks Medicare Costs, Physician Deficit, Cadillac Tax

by Jacqueline DiChiara

Along with the fiftieth anniversary of Medicare comes reflection. A recent series of writings within the fall issue of the Journal of American Physicians and Surgeons (JPandS) highlights numerous flaws within medicine and the greater healthcare...

CMS Releases Medicaid CHIP Eligibility Enrollment Report

by Jacqueline DiChiara

The Centers for Medicare and Medicaid Services (CMS) has released new information to assist states with Medicaid and the Children’s Health Insurance Program (CHIP) enrollment. CMS concurrently released the June 2015 monthly report...

Readers Debate the Affordable Care Act’s Anticipated Impact

by Jacqueline DiChiara

Is the Affordable Care Act (ACA) a beautiful success, a gut-wrenching failure, or a complexly vague combination of both? Simply put, opinions are mixed. Some across the healthcare industry confirm various ACA successes – more uninsured...

Hospitals Dodge Financial Penalty with Medicare ACA Loophole

by Jacqueline DiChiara

According to the Affordable Care Act (ACA), hospitals demonstrating low quality measures face financial penalties under Medicare. However, due to a discovered loophole as confirmed within a new Health Affairs study, hospitals are...

Congress Urged to Repeal Affordable Care Act’s Cadillac Tax

by Jacqueline DiChiara

The Affordable Care Act’s (ACA) “Cadillac Tax” – applying to employers offering healthcare plans that are more than double the average contribution – is a 40 percent non-deductible tax beginning in 2018 on the cost...

How to Address Bundled Payment Cost Reduction Challenges

by Jacqueline DiChiara

As per the Affordable Care Act (ACA), the Centers for Medicare & Medicaid Services (CMS) will begin applying a value-based payment program under the physician fee schedule within the year in association with budget neutrality. This November,...

Survey Highlights Changing Primary Care Practice Environment

by Jacqueline DiChiara

Primary care providers confirm mixed opinions regarding healthcare changes to healthcare delivery and payment within the primary care practice environment, states a new survey from the Commonwealth Fund and The Kaiser Family Foundation. Although...

ACA Community Health Center Funds Increase Quality of Care

by Sara Heath

Under the Affordable Care Act (ACA), community health centers have seen tremendous growth, receiving funding to expand their services and healthcare sites to provide help to more individuals who may otherwise go without care. In honor of National...

Does Improved Care Access, Insurance Coverage Stem from ACA?

by Jacqueline DiChiara

Can the Affordable Care Act (ACA) be considered a success? According to data analysis published in The Journal of the American Medical Association, the answer is a hearty yes. Although the time prior to the ACA’s initial enrollment period...

Unreliable Health Plan Provider Directories Burden Providers

by Jacqueline DiChiara

Under the establishment of the Affordable Care Act (ACA), millions of people have enrolled in new health insurance plans via the health insurance marketplace. When signing up for these new plans, consumers rely on information provided to them...

Medicare, Affordable Care Act Spending Discussion Continues

by Jacqueline DiChiara

Medicare and the Affordable Care Act's (ACA) financial future is perhaps nothing more than a cyclone of ever-evolving opinions. A recent article, Will Medicare Part D Prescription Drug Plans Stabilize, has been...

Healthcare Spending to Rise Despite Lack of Patient Input

by Sara Heath

Healthcare spending is expected to climb to enormous heights by 2024, according to a recent news release by the Citizen’s Council for Health Freedom (CCHF). According to Twila Brase, R.N and Co-Founder and President of CCHF, these rising...

ACA Support Rising to 55% as Physicians Value Quality Care

by Sara Heath

The Affordable Care Act (ACA) may be growing in popularity amongst healthcare professionals, according to a recent survey conducted by the American Association for Physician Leadership (AALP) and Navigant Center for Healthcare Research and Policy...

Is the ACA Working as Intended to Improve Healthcare Access?

by Jacqueline DiChiara

Is the Affordable Care Act (ACA) living up to its full potential or is it more a matter of all healthcare hands on deck? In past interviews with, healthcare experts and leaders from both athenahealth and the Robert...

4 Triumphs and Challenges in Medicare and Medicaid’s 50 Years

by Sara Heath

After 50 years as laws, Medicare and Medicaid have seen several triumphs and challenges, making their marks on American healthcare from expanding low-income coverage to raising serious questions about national finances.. As Medicare and Medicaid...

Will Medicare Part D Prescription Drug Plans Stabilize?

by Jacqueline DiChiara

As Medicare – established along with Medicaid on July 30, 1965 – formally hits its 5-decade anniversary this week, the healthcare industry turns over a new financial leaf upon considering where new spending and saving focuses...

NAMD Says Medicaid Managed Care Rule Restricts Healthcare Reform

by Sara Heath

In response to the proposed regulations of Medicaid managed care, the National Association of Medicaid Directors (NAMD) submitted a list of comments to the Centers for Medicare & Medicaid Services (CMS), according to a statement made by Matt...

‘Unjustified’ Premium Increases Obstruct ACA’s Transparency

by Jacqueline DiChiara

Covered California – which encompasses almost 13 percent of all Marketplace enrollees paying for nationwide coverage – announced yesterday a “modest” anticipated 4 percent statewide weighted average increase for 2016 healthcare...


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