Category Archive: Healthcare Finance News

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.

Affordable Care Act delivers significant benefits for women, research finds

A greater proportion of women were able to find affordable access to acute and preventive services, as well as insurance coverage.

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.

CMS star ratings found lacking in some areas, especially risk, study finds

The star algorithm fails to fully capture the typical observation that higher surgical volume is associated with better quality outcomes.

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.

Early discharge after lung surgery benefits patients without raising readmission risk

Thoracic surgeons are often reluctant to discharge patients on an accelerated time frame for fear of harm or readmission risk.

Early discharge after lung surgery benefits patients without raising readmission risk

Thoracic surgeons are often reluctant to discharge patients on an accelerated time frame for fear of harm or readmission risk.

Improper removal of personal protective equipment contaminates healthcare workers

Almost 40 percent of workers made errors in removing personal protective equipment — PPE — including gowns and gloves.

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.

CHI Franciscan, Washington state settle suit over alleged antitrust violations in physician group acquisition, partnership agreement

State argued CHI Franciscan acquisition of WestSound Orthopaedics and professional services agreement with The Doctors Clinic limited patient choice, set up price hikes.

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