Category: Healthcare Finance News

Federal requirements for sharing patient medical records pose challenges, opportunities

Only 18% of the executives surveyed at U.S. healthcare companies say they are "very familiar" with new regulations.

Expanding biosimilars market holds potential for significant savings to state Medicaid programs

The anticipated savings would increase in a scenario in which biosimilars made up a larger portion of the total market share.

Medication adherence a big factor in Medicare Advantage star ratings

The bonus pool size is currently $6.3 billion, which goes to 4-star and above plans as $500 per member, per year.

Smoking cessation efforts may reduce avoidable hospital readmissions

Smoking cessation efforts could ultimately be a strong investment that allows the hospital to retain more reimbursement dollars.

2018 cohort of newly-certified physician assistants is the youngest and largest yet

The data also shows encouraging employment opportunities for PAs, with most receiving multiple job offers.

More 4 star or higher plans in Medicare Advantage and Part D star ratings, CMS says

There are 1,200 more MA plans than in 2018 and in 2020 a greater number rate 4 stars or more, CMS says.

UnitedHealthcare app gives members on-demand access to telehealth services

The app also allows users to manage prescriptions, see information on deductibles and out-of-pocket spending, and locate physicians and hospitals using GPS technology.

Pressures of value-based care reforms trigger sharp increase in clinical outsourcing partnerships

Some hospitals are actively enhancing their clinical product lines via outsourcing, which they say increases patient satisfaction.

Medicare Advantage plans on the rise ahead of open enrollment and star ratings release

A perfect storm of an aging demographic, lower premiums, high margins and CMS flexibility is behind MA success amid political Medicare for All.

Half of healthcare leaders say artificial intelligence will yield positive return on investment in 3 years

Respondents to the survey also expect to invest more as potential use and adoption of the technology continues to climb.