Author's posts
Blockchain prototype aims to speed revenue cycle transactions
The InstaMed blockchain prototype creates a shared patient account ledger accessible by the provider, payer and consumer.
Cerner and naviHealth launch EHR-agnostic tool to support BPCI Advanced participants
Health IT giant and convener expand partnership to help health systems with 2020 model for bundled payment reimbursement.
CMS reduces exchange user fees, changes coupon policy for brand name drugs, in 2020 final rule
Rule proposes no changes to practice of silver loading as insurers start to set rates for 2020.
New research documents state of value-based care in all 50 states
The analysis finds that value-based payment is firmly rooted in state healthcare policy.
Health insurance tax, not rebates, greatest threat to affordability, UnitedHealth Group CEO says
UnitedHealth has already converted, or is in the process of converting, 8 million fully-insured commercial lives to point-of-sale rebates, CEO David Wichmann says.
Humana launches oncology model to reward integrated care
The insurer is offering providers analytics and compensation determined by metrics that address access to care, clinical status assessments, and patient education.
Primary care accounts for a small share of Medicare spending, RAND study finds
Primary care represents an estimated 2.12 to 4.88 percent of total medical and prescription spending in Medicare Parts A, B and D.
Blue Cross NC $750,000 grant funds expansion of school-based telehealth
Pilot program has reduced unnecessary ER visits and early dismissals among students, many who previously lacked a primary care point of contact.
Sutter Health pays $30 million to settle alleged overpayment of Medicare Advantage funds
Safety-net providers operated with an average margin of 1.6% in 2017
This is less than half their 2016 average and below the 7.8 percent average of other U.S. hospitals, according to the annual study.
