Success was highest for those with employer coverage while marketplace enrollees were statistically more likely to run into trouble.
Category: Healthcare Finance News
Private health plans pay 241 percent more than Medicare, RAND report says
Study recommends employers pressure health plans and hospitals to shift to contracts based on a multiple of Medicare or other prospective case rates.
Health plan customer satisfaction challenged by new era of empowered healthcare consumers
A big challenge for health plans is addressing member expectations based on their experiences in other industries.
President Trump calls for an end to surprise medical bills
AHIP wants reimbursement based on market rates determined by contracted amounts paid by insurers to similar doctors in a geographic area.
With telehealth still evolving as a care delivery model, text-based care may offer the best quality for some patients
Tapping into asynchronous, text-based communication could let providers cast a wider net and improve care quality.
Astria Health blames revenue cycle contractor for bankruptcy
Operations continue, wages are unaffected and none of the health system’s three hospitals or other care centers will close, Astria says.
Patients of Medicare providers committing fraud or abuse more likely to be poor, disabled
Fraudulent medical practice is estimated to cost the federal government between $90 to $300 billion dollars annually.
UnitedHealthcare introduces new bundled payment program for maternity care
Resources provided by Optum include an expectant mother app that has a ‘kick counter’ and is free to women enrolled in UnitedHealthcare’s employer-sponsored plans.
Acadia Healthcare to pay $17 million in settlement of Medicare fraud case
Medicaid paid Acadia’s facilities a much higher amount for blood and urine tests than its lab had charged for the analysis.
Health system leaders value nurse innovation skills — just not at the leadership level, study says
Just 31 percent of clinical leaders have a designated nursing leader whose primary responsibility is innovation.
