The primary reason for noncompliance was that most providers don’t send records electronically even when so requested.
Category: Healthcare Finance News
Insurers’ collective premium rate increases are less than 1% for 2020 ACA plans
Numerous states reported requested rate decreases and only three have double-digit increases.
Tufts and Harvard Pilgrim to merge, creating large nonprofit insurer
The new organization, yet to be named, will be one of the largest nonprofit health organizations in Massachusetts and the surrounding region.
Day Kimball Healthcare has sights set on partnership with California for-profit
It could be several months before the deal is finalized, though the agreement itself is projected to be completed this fall.
Pharmacy benefit managers keep less than 1% percent of rebates for Medicare Part D drugs, GAO says
Part D plan sponsors mainly used five PBMs in 2016: CVS Caremark, OptumRx, Express Scripts, Medimpact and Argus.
Healthcare cybersecurity market poised for growth over the coming years
The rapid adoption of digital technologies is considered beneficial to providers, but it can lead to cybersecurity gaps.
Hospital price increases for inpatient services will cost consumers and employers $250B over the next decade
Between 2013 and 2017, hospital prices for inpatient services increased 19%, translating to about 4.5% per year.
Bright Health to expand its health plan model to 13 new markets for 2020
The expansion marks a nearly 300% increase in product offerings compared to 2019.
Surprise medical bills in ER and inpatient settings are soaring, JAMA finds
The chance of a surprise bill was more than 90% in 15% of the hospitals studied, and for ED visits it was even more.
Blue Cross Blue Shield of Arizona, Sempre Health, partner to influence prescription drug behavior
Medication adherence and refilling on time rewards members through copay discounts.
