Non-profit organization Catalyst for Payment Reform (CPR) released its 2014 National Scorecard for Payment Reform this week. The study examined commercial health plans, specifically looking at...
Paying the bills is probably not many people’s favorite pastime, and medical bills can be especially confusing. However, executives at Idao-based St. Luke’s Health System felt that they could change...
As healthcare continues to evolve, it only makes sense that practices might have to hire more staff. However, if a recent survey is any indication, doctors and nurses are not the only ones being brought...
Full Circle Health Care, a small medical office in Presque Isle, Maine, made a rather disturbing discovery over the summer: employees could not access electronic health records of the organization’s...
The Centers for Medicare & Medicaid Services (CMS) announced earlier this week that its Health Plan and Other Entity Enumeration System (HPOES) has been updated with new functionality. Now, HPOES...
Catholic Charities West Michigan reached a settlement with the US Attorney’s Office for the Western District of Michigan over the non-profit organization submitting false Medicaid claims....
Integrated health systems are taking greater advantage of the use of long-term incentives, according to a recent Hay Group study. Research showed that the percentage of long-term incentive use has more...
The per capita healthcare spending for young adults with employer-sponsored insurance (ESI) grew at a rate nearly double that of other adults in the first two years of the Affordable Care Act (ACA),...
Finding the affordable and applicable health insurance is not always an easy task, and if a recent survey is any indication, a lack of information could be preventing Americans from choosing a health...
In an effort to improve patient care across Pennsylvania healthcare facilities, Capital BlueCross and the Health Care Improvement Foundation (HCIF) joined together to create a collaborative – the...
The US Department of Health & Human Services’ (HHS) Rate Review Program and Rate Review Grant Program have shown success since their implementations in 2011 and 2010, respectively. Combined, the...
The Health Insurance Portability and Accessibility Act (HIPAA) has its standard Automated Clearing House (ACH) Electronic Funds Transfer (EFT) payment method, which health plans must now offer to...
Medicare Part B lost millions of dollars in 2011 because certain fees were not aligned with the rates that Part D and state Medicaid programs paid, according to a recent Office of Inspector General...
On Monday, July 14, 2014, the Centers for Medicare & Medicaid Services (CMS) announced a proposed rule that would update the payment policies and payment rates for services furnished to Medicare...
On Wednesday, August 6, 2014, the Centers for Medicare & Medicaid Services announced its final rule for updating the prospective payment rates for Medicare inpatient hospital services provided by...
Retail organizations faced with increasing healthcare costs and regulatory demands are increasingly looking toward health insurance marketplaces – also known as exchanges – when it comes to their...
Vermont residents could be paving the way for the rest of the nation in terms of healthcare spending patterns, as a recent report found that those living in the Green Mountain State spent fewer dollars...
