Just 3 percent of plans were found to be narrow, with the share of broad networks increasing from 80.1 to 82.5 percent over four years, Health Affairs study shows.
Category: Healthcare Finance News
Insurance coverage linked to access to hospital care in new JAMA study
Hospitals are not reimbursed for admitting uninsured patients and they receive lower payments for Medicaid.
Sutter Health|Aetna adds Stanford Health Care to network
The joint venture between provider and payer, which launched last year, has grown to about 50 plan sponsors across 15 counties.
Shorter stays in a skilled nursing facility tied to higher risk for readmission
Avoiding readmissions is one the top goals for providers who seek to avoid financial penalties linked to high rates.
Government subsidies may be key to containing hospital-borne infections
Patients and healthcare workers can spread infections from one hospital to another, even if some are more vigilant in controlling infections.
Cigna and Express Scripts launch program to cap out-of-pocket cost for insulin at $25 per 30-day supply
Cigna and Express Scripts clients will activate the new program for participating plans by moving covered insulin products to a lower copayment.
What the revenue cycle picture could look like by the end of the year: Predictions
Artificial intelligence, real-time payments and telehealth are all factors that could affect the revenue cycle picture over the next nine months.
Duke Health and BCBS of North Carolina launch Medicare Advantage company
Duke Health will provide medical services and population health management programs while Blue Cross NC will handle enrollment, billing and claims services.
Anthem finds competitive edge in offering employers integrated health benefits
Large employers are increasingly interested in integrating dental, vision, pharmacy, other benefits, due to better outcomes, lower costs and employee satisfaction, survey finds.
Identifying a potential fix for the hospital star rating program
Since the introduction of the star ratings in 2016, they’ve been met with skepticism due to their methodology.
