Smorse

Author's details

Name: smorse
Date registered: May 27, 2015
URL: http://www.healthcarefinancenews.com/content-feed/news

Latest posts

  1. Three largest insurers dominate market share in at least 37 states, GAO report says — March 22, 2019
  2. Home health provider groups rips proposed slash to reimbursement rates — March 22, 2019
  3. BPCI Advanced down to 1,295 providers as 252 drop-out — March 21, 2019
  4. Insurers, providers, spar over solution to surprise medical bills — March 21, 2019
  5. High price of drugs is biggest issue in prescription adherence, physicians say — March 20, 2019

Author's posts listings

Three largest insurers dominate market share in at least 37 states, GAO report says

Blue Cross was the most named, largest insurer in 10 states in which three insurers had over 75 percent of the large group health insurance market.

Home health provider groups rips proposed slash to reimbursement rates

MedPAC’s proposed 5 percent cut, coupled with a new payment model, comes at a time when home services are on the rise.

BPCI Advanced down to 1,295 providers as 252 drop-out

CMS announces 715 acute care hospitals and 580 physician group practices remain in the bundled payments for care improvement advanced program, for a total of 1,295 Medicare providers.

Insurers, providers, spar over solution to surprise medical bills

America’s Health Insurance Plans called on Congress to set a fixed reimbursement rate based on what insurers pay in a region.

High price of drugs is biggest issue in prescription adherence, physicians say

Only 5 percent of physicians always track whether their patients are taking their drugs, survey says.

Humana launches, expands bundled payments for its Medicare Advantage members

Value-based programs are in Humana’s Medicare Advantage business, where insurer had a 17 percent market share last year.

Amazon health venture Haven hires Dr. Sandhya Rao from Partners as VP of Clinical Strategy

CEO Atul Gawande has hired an expert in population health and risk-based contracts to help lead clinical strategy.

Efficient hospitals operate on -2% margins in Medicare payments, MedPAC reports

MedPAC recommends removing the $1 billion in financial penalties hospitals incur each year under two incentive programs.

Two major Blue insurers, Cambia, BCBS North Carolina, combine in strategic alliance

Former CMMI Director Patrick Conway to be CEO of both, in a non-merger to align investments and eliminate redundant costs.

See how hospitals did in CMS overall star ratings: List is below

Rankings show 5-and 1-star providers about equally divided as majority fall in the 2-to-4 star categories.

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