Category: Healthcare Finance News

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.

New risk adjustment model may reduce financial penalty for safety net hospitals

The new model could reduce the burden for at least half of all safety net hospitals as they care for patients regardless of insurance status or ability to pay.

Hospital employees are clicking on phishing emails, and that’s a problem, JAMA study shows

More than 2.9 million simulated emails were sent to employees at six hospitals, and nearly one in seven were clicked on, the study said.

Drug that prevents lung problems in older preemies also lowers costs

Pairs who received betamethasone had average costs of $4,681, versus the $5,379 spent on the pairs who didn’t get the treatment.