Category: Healthcare Finance News

Michigan’s Beaumont Health to acquire Ohio-based Summa Health

Beaumont Health will gain a health insurance arm in SummaCare.

New CMS resources help states waive ACA requirements

Most states have gotten or are seeking the Section 1332 waivers to establish a reinsurance program to fully or partially reimburse insurers that are covering claims for high-risk beneficiaires.

Families of four face $25,000 in average annual unsubsidized ACA costs in 2019

Costs for two- and four-person families rose despite overall premiums being relatively flat compared to last year.

Telemedicine is poised to grow as its popularity increases among physicians and patients

Physicians of almost all age groups show an interest in pursuing telemedicine jobs or service lines.

The number of clinicians participating in advanced APMs increased

Participation almost doubled year-to-year, while the number of clinicians taking part in MIPS declined.

The number of clinicians participating in advanced APMs increased

Participation almost doubled year-to-year, while the number of clinicians taking part in MIPS declined.

Addressing value-based care’s data problem

True value-based care requires a holistic view of the patient that can only be achieved with robust data, an expert says.

UnitedHealthcare to start covering medical implant for sleep apnea

The device is a significant departure from traditional surgical treatments for sleep apnea.

The association between care management and outcomes in Medicare ACOs

As they have become more widespread, ACOs have employed a variety of care management and coordination strategies.

CMS proposes 1.3% pay increase for home health but is ending prepayment of services

While CMS says it is now allowing therapist assistants to perform services, Premier says the agency’s definition requires a skilled professional.