Category: Healthcare Finance News

Payers are data obese with information that goes unused

Treating data as claims to find illness is not treating health, expert says.

CMS policy to reduce hospital-acquired conditions had minimal impact, research shows

The targeted billing codes were rarely used by hospitals, far less than expected based on national estimates.

How disparate EHR systems, lack of interoperability contribute to physician stress, burnout

The evolution of the patchwork EHR landscape has been complex, and one expert traces the problem back to meaningful use.

Harvard Pilgrim CEO Eric Schultz resigns, citing behavior inconsistent with core values

The insurer is releasing little information as it names a new president.

Amazon is buying online pharmacy business PillPack

Customers pay a monthly service fee, which is often covered by insurance companies and Medicare Part D plans.

Mayo Clinic, Blue Cross and Blue Shield of Minnesota announce five-year agreement

The agreement is structured to offer comprehensive clinical strategies that support the health of the population in southern Minnesota.

Healthcare organizations see greater optimism about value-based care, says KPMG poll

Healthcare organizations see greater optimism about value-based care, says KPMG poll.

Highmark saves $260 million in avoidable healthcare costs through PCP value-based program

The insurer rewards physicians in care coordination reimbursements.

GE to spin off its healthcare unit

Other GE businesses to downsize, reduce expenses and debt.

CMS approves first proposal for states to enter value-based Medicaid arrangements with drug-makers

CMS approves first state proposal for value-based drug contracts
But agency denies Massachusetts’ request to choose drugs for its Medicaid formulary.