Category: Healthcare Finance News

Aledade touts cost saving successes of its ACOs

The company, founded by former National Coordinator for Health IT Dr. Farzad Mostashari, says advanced analytics are helping its accountable care organizations drive big efficiencies.

Expanding Medicaid means chronic health problems get found and health improves, study finds

Those in Michigan’s expanded Medicaid program reported not only better physical health, but better mental health outcomes as well.

Affordable Care Act plans will be able to offer wellness incentives under CMS pilot

Insurers can offer premium discounts or other incentives to engage in healthy activities, but questions remain as to whether wellness programs work.

Telehealth visits get wary welcome from older adults, poll finds

Focusing on certain types of telehealth visits might allow older adults to get comfortable with the concept, the analysis found.

Employee annual premiums rise to $20,000 for family health coverage

The 5% increase in employer-sponsored insurance is coming at a time when 2020 premiums in the Affordable Care Act and Medicare Advantage markets are at their lowest levels.

Employee annual premiums rise to $20,000 for family health coverage

The 5% increase in employer-sponsored insurance is coming at a time when 2020 premiums in the Affordable Care Act and Medicare Advantage markets are at their lowest levels.

Hospitals object to posting negotiated rates and other payment rules

CMS is proposing that hospitals make public their payer-specific negotiated charges for a limited set of ‘shoppable’ services,’ or face civil monetary penalties, in a rule to go into effect on January 1, 2020.

Lack of resources, staffing among barriers to implementing value-based care

Internal and external gaps in interoperability were the second most-cited barrier to VBC adoption, at 19.7%

DOJ breaks up alleged genetic testing fraud scheme estimated at $2.1 billion

The defendants ordered unnecessary tests that were reimbursed by Medicare, with laboratories sharing the profit, DOJ says.

Medicaid may be the driver to reducing costs

Medicaid serves the population most adversely impacted by the social determinants of health.