Healthcare Payers

AMA Says Health Insurance Market Competition Lowers Premiums

by Jacqueline DiChiara

Imagine the messy difficulties that ensue from attempting to unscramble an egg. This visual is one the American Medical Association (AMA) likens the future of competition and consolidation connected to...

Burwell: ACA Progress Caused Record Drop in Uninsured Rate

by Jacqueline DiChiara

Over 17 million people have acquired healthcare coverage via Affordable Care Act (ACA) conditions with over 10 million uninsured individuals eligible for Marketplace coverage, according to a speech...

Health Insurance Coverage Still Low Despite ACA Policies

by Sara Heath

Health insurance coverage woes continue to affect a great number of individuals, claims the President of Physicians for a National Health Program (PNHP). According to a recent press release, Robert...

VA Benefits Management Systems Need Increased Management

by Sara Heath

Although the Department of Veterans Affairs (VA) has made great strides recently by implementing its Veterans Benefits Management Systems (VBMS) across all of the organization’s regional offices,...

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...

Are Hospitals Committed to Population Health Collaborations?

by Jacqueline DiChiara

Population health is an area of strong interest and focus for hospitals and community partners, confirms a recent survey of over 1,400 hospitals conducted earlier this year from the Health Research...

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,...

Will Insurance Mergers Drive Up Health Insurance Premiums?

by Jacqueline DiChiara

A series of pending healthcare mergers may lessen competition and leave beneficiaries with less choice. Aetna recently agreed to acquire Humana for $37 billion in cash and stock. The unification of two...

Fictitious Marketplace Enrollees Get Standardized Coverage

by Jacqueline DiChiara

The federal Health Insurance Marketplace (Marketplace) desperately needs to tighten up its security measures, confirms a new report from the US Government Accountability Office (GAO). In an undercover...

ICD-10 Implementation: Five Facts to Know Now

by Jacqueline DiChiara

Many commonly accepted myths have been recently circulating among healthcare providers, payers, and professionals about the upcoming implementation of ICD-10, the tenth revision of the International...

Physician Practices Struggling with New Payment Models

by Jacqueline DiChiara

As physician practices continue to utilize new healthcare payment models to increase quality and decrease costs, they are actively struggling. The way physicians and health professionals are paid by the...

Summary of Health Insurance Marketplace Final Rule for 2016

by Jacqueline DiChiara

CMS issued a 476-page final rule to promote improving the overall Health Insurance Marketplace consumer experience by ensuring affordable and accessible coverage options. On February 20, the federal...

Health Insurers Increase Use of Value-Based Reimbursement

by Ryan Mcaskill

As value-based reimbursement increases, more health insurance providers are increasing its focus. The push for value-based reimbursement strategies in the healthcare landscape has gained major steam...

Impact of Healthcare Subsidies Case Could be Substantial

by Ryan Mcaskill

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...

Colorado Launches Multi-Payer Data-Sharing Online Tool

by Ryan Mcaskill

Dr. Judy Zerzan speaks about the creation of a new database and how it will impacts payers, providers and consumers. Last month, it was announced that seven health plans in Colorado have come together...

What are the Challenges of Medical Bill Collections?

by Stephanie Reardon

42.9 million people have outstanding medical bills. Bill collecting has never been an easy job. This is even more true for medical bill collections, with 51.2 percent of collection trade lines coming...

Can Providers Make Patient Payment Collections Less Painful?

by Stephanie Reardon

Can healthcare organizations make healthcare more affordable? Increased healthcare deductibles in 2014 may cause revenue cycle managers to encounter more patient payment collections problems according...

NCQA Calls for Public Comment on Health Plan Accreditation

by Ryan Mcaskill

The NCQA has proposed changes to the HPA that will focus on measures that incentivize plans to focus on value-based strategies. The National Committee for Quality Assurance (NCQA) recently announced...

Healthcare Payer IT Market Poised for Substantial Growth

by Ryan Mcaskill

Recently, ReportsnReports released a forecast and analysis of the healthcare payer IT market from 2013 through 2018. According to the numbers, the North American payer IT industry is the largest...

Target Partners with Kaiser Permanente to Improve Clinic

by Ryan Mcaskill

A new partnership between Target Clinic and Kaiser Permanente will increase the services provides at the retailer. Healthcare delivery methods are changing frequently. With millions of Americans...