Topics

Reimbursement

TN hospitals generate $18B for state economy
Jul 16 | Jeff Lagasse
New data from states including Tennessee and Connecticut highlight the importance of helping sustain community well being.
Challenges to overcome for transitioning from volume to value
Jul 16 | Jeff Lagasse
Executives must address redundant services, lengthy claims processing and reimbursement…
Who’s really responsible for unplanned hospital readmissions?
Jul 13 | Jeff Lagasse
New research found that the length of time after which a patient returns to the hospital reveals a lot about…
Bright Health’s payvider model sees triple growth
Jul 12 | Susan Morse
The insurer is expanding its narrow network into new markets by 2019, CEO Bob Sheehy says.
CMS cuts ACA Navigator funding to $10M
Jul 11 | Susan Morse
This year Navigator organizations will be judged on offering options to the ACA such as Association and short-term…
CMS proposes to prevent Medicaid payments diversion
Jul 10 | Susan Morse
The Centers for Medicare and Medicaid Services said the change is intended to ensure that…
Health plans vary in drug reimbursement
Jul 10 | Jeff Lagasse
Less than half, 48 percent, of all drug coverage decisions are consistent across the…
Trump Administration’s move to freeze $10.4B in risk adjustment payments disrupts markets
Jul 09 | Susan Morse
AHIP, CMS Administrator Seema Verma both say they want quick resolution to conflicting court…
Missouri mandates managed Medicaid or payment cut
Jul 06 | Susan Morse
State wants hospitals in-network with Centene, UnitedHealthcare and WellCare but with no apparent savings.
Jul 05 | Susan Morse
The appeal of Bundled Payments for Care Improvement Advanced is in it qualifying as an advanced APM but concerns…

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