Category: Healthcare Finance News

Aetna CVS merger faces one last hurdle in New York

Superintendent Maria Vullo wants guardrails to ensure promised synergies result in cost savings for consumers.

American Medical Association upgrades mapping tool to help providers identify underserved areas

The mapping tool identifies health professional shortage areas, hospital locations, workforce trends, wellness barriers.

Physicians adverse to the financial risk of payment models that penalize for cost overruns

Many physician practices lack the experience with data management and analysis needed to perform well in alternative payment methods, study says.

BayCare Health puts self-service biometric kiosks in Publix grocery stores

Consumers can use the TechDecks to measure blood pressure, weight and other metrics, then send those to doctors at BayCare.

Technology key to curbing rate of claims denials for hospitals, health systems

Some providers see nine percent of their claims denied, and with each costing as much as $118, better processes can help realize cost savings.

Lawmakers ask CMS to reconsider ACO MSSP overhaul

ACOs in upside-only models need more than two years and the shared savings rate put forward by The Centers for Medicare and Medicaid Services, lawmakers and stakeholders say.

Trump administration to expand use of HRAs to individual marketplace

The health reimbursement arrangements could be used to satisfy the employer mandate to offer coverage.

UChicago Medicine, Advocate Children’s, NorthShore form major pediatric collaboration to enhance care, access

The collaboration is effective immediately and builds on the recently-revealed joint operating agreement between Advocate Health Care and NorthShore.

Healthcare payments tied to value-based care on the rise, now at 34 percent

In contrast, 41 percent of payments were based on volume rather than quality and efficiency, two hallmarks of value-based care.

Employers combat healthcare costs through HSAs, wellbeing and pharmacy benefit measures

A vast majority of employers plan to focus on employee wellbeing, clinical conditions, employee experience and health IT.