Massive gaps leave practices more dependent on reimbursement from commercial payers and commercial contracts, raise the potential of shrinking number of Medicare patients accepted.
Category: Healthcare Finance News
Optum sues former executive for working for competitor company run by Atul Gawande
David Smith said he expects his new role to involve in-depth research on the delivery and costs of healthcare for over 1 million lives.
Orthopedic surgery spending increased 44 percent since 2010
Volume increase is the main cost driver, as the number of such procedures has sharply risen across nearly all ages under 65.
Most hospitals would likely benefit from third-party liability insurance coverage, says ERI
TPL reimbursements can recoup as much as 100 percent of charges levied, double commercial rates and more than triple governmental plan rates.
HIMSS TV at HIMSS19: List of experts, thought leaders keeps growing!
Sentara healthcare CIO, CISO to share insights, expertise with HIMSS TV audience at the global conference in Orlando next week!
Walgreens settles False Claims suits for $270 million
Two cases emerged from whistleblower claims about improper billing related to discounted drug prices and insulin pens.
Disclosing drug prices won’t drive down costs, JAMA says
Even if its passed into law, proposed legislation to force frice disclosures is unlikely to create the kind of competition that affect prices.
38 hospitals sue HHS over site-neutral payment rule
Hospitals named in the suit include Vanderbilt Medical Center, Atrium Health, Rush University Medical Center, Ochsner Clinic Foundation and Montefiore Health System.
Looking to slash hospital supply chain costs? Centralizing operations is one way to do it
By creating economies of scale with a full-service supply chain, University of Missouri Health Care was able to improve its bottom line.
AHIP advocacy group questions Medicare Advantage payment changes
Also, seven new insurers join America’s Health Insurance Plans including Bright Health; CareFirst BlueCross BlueShield.
