Category: Healthcare Finance News

Shorter stays in a skilled nursing facility tied to higher risk for readmission

Avoiding readmissions is one the top goals for providers who seek to avoid financial penalties linked to high rates.

Government subsidies may be key to containing hospital-borne infections

Patients and healthcare workers can spread infections from one hospital to another, even if some are more vigilant in controlling infections.

Cigna and Express Scripts launch program to cap out-of-pocket cost for insulin at $25 per 30-day supply

Cigna and Express Scripts clients will activate the new program for participating plans by moving covered insulin products to a lower copayment.

What the revenue cycle picture could look like by the end of the year: Predictions

Artificial intelligence, real-time payments and telehealth are all factors that could affect the revenue cycle picture over the next nine months.

Duke Health and BCBS of North Carolina launch Medicare Advantage company

Duke Health will provide medical services and population health management programs while Blue Cross NC will handle enrollment, billing and claims services.

Anthem finds competitive edge in offering employers integrated health benefits

Large employers are increasingly interested in integrating dental, vision, pharmacy, other benefits, due to better outcomes, lower costs and employee satisfaction, survey finds.

Identifying a potential fix for the hospital star rating program

Since the introduction of the star ratings in 2016, they’ve been met with skepticism due to their methodology.

Most healthcare providers are behind the curve when it comes to digital health transformation, survey finds

Challenges include clinician resistance to adopting new solutions and difficulties integrating legacy systems with new digital tech.

AMA, UnitedHealthcare team up on billing codes that address social determinants of health

The two organizations are working together to standardize how data is collected, processed and integrated regarding SDoH.

Insurers, hospitals, physicians united in stance on ACA lawsuit

Texas court battle will put Medicare for all on back burner in 2020 general election, veteran legislator and attorney says.