America’s Health Insurance Plans called on Congress to set a fixed reimbursement rate based on what insurers pay in a region.
Category: Healthcare Finance News
CHI Franciscan, Washington state settle suit over alleged antitrust violations in physician group acquisition, partnership agreement
State argued CHI Franciscan acquisition of WestSound Orthopaedics and professional services agreement with The Doctors Clinic limited patient choice, set up price hikes.
High price of drugs is biggest issue in prescription adherence, physicians say
Only 5 percent of physicians always track whether their patients are taking their drugs, survey says.
Doctor video visits increase access to healthcare but could risk fragmentation
Receiving consistent primary care leads to better overall health, but a lack of coordinated communication will be a concern.
Humana launches, expands bundled payments for its Medicare Advantage members
Value-based programs are in Humana’s Medicare Advantage business, where insurer had a 17 percent market share last year.
Telehealth can retain an element of humanity despite focus on data and logic
As transformative as the technology can be, providers need to be cautious not to lose the human element in their care delivery.
Getting paid for remote and virtual care services: CPT codes to know and understand
Until November, reimbursement for remote patient monitoring services was a gray area for providers, but the picture is becoming clear.
New York City nurses threaten strike over staffing, working conditions at Montefiore, Mount Sinai, New York Presbyterian
The strike, if it happens would affect more than 10,000 nurses and would likely prove costly for the systems involved.
Amazon health venture Haven hires Dr. Sandhya Rao from Partners as VP of Clinical Strategy
CEO Atul Gawande has hired an expert in population health and risk-based contracts to help lead clinical strategy.
Efficient hospitals operate on -2% margins in Medicare payments, MedPAC reports
MedPAC recommends removing the $1 billion in financial penalties hospitals incur each year under two incentive programs.
