Enrollment in MA is projected to increase by 11.5 percent, and the number of plans to increase by 600 next year.
Category: Healthcare Finance News
Payers seeking support for reimbursement decisions often turn to digital information sources
Payers are almost equally as likely to get decision support from websites than from consulting with colleagues.
Optum360, Change Healthcare, Waystar among highest ranked vendors for Black Book’s revenue cycle survey
Black Book surveyed nearly 4,500 hospital and health system CFOs, Finance and RCM vice-presidents, others to come up the top performers.
Americans stressing out over soaring healthcare costs this enrollment season
One of the issues is that while costs are rising, consumers aren’t prepared, as many are struggling with rising premiums and out-of-pocket expenses.
Maine Health’s hospital members orgs consolidate into single nonprofit system
Combining will help MaineHealth "build a system of integrated care," notably including a common electronic medical records system.
Why requiring nurses to have a bachelor’s degree can improve patient safety
Nurses who earned a BA reported being significantly better prepared than nurses with associate degrees in several areas of clinical care.
Trump Administration proposes new Medicare drug payment model to reduce costs
The International Pricing Index model would reset Medicare payments for physician-administered drugs.
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.
