Category: Healthcare Finance News

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.

Most healthcare providers are behind the curve when it comes to digital health transformation, survey finds

Challenges include clinician resistance to adopting new solutions and difficulties integrating legacy systems with new digital tech.

AMA, UnitedHealthcare team up on billing codes that address social determinants of health

The two organizations are working together to standardize how data is collected, processed and integrated regarding SDoH.

Insurers, hospitals, physicians united in stance on ACA lawsuit

Texas court battle will put Medicare for all on back burner in 2020 general election, veteran legislator and attorney says.

How better vendor management can help improve a health system’s revenue cycle

Juggling vendors can add costs for a health system, so it’s better to focus on communication, convenience and the patient experience.

CMS rule gives Medicare Advantage plans an edge over traditional Medicare

MA plans may offer non-health benefits such as transportation to grocery shopping for those with chronic conditions.

GlobalHealth, Evolent partner to deliver Medicare Advantage plans

The joint venture will offer MA plans under the True Health brand to high-performing providers that are prepared to take delegated risk for MA populations.

Doctors more likely to prescribe preventive therapy if prompted by EHR

The findings come as an increasing number of health systems are investing in system-wide EHRs, despite lingering issues with interoperability.