Sufficient funding is rare and providers hold back on investing in such programs thanks to inability to quantify benefits, understand delivery of services and insurance concerns.
Category: Healthcare Finance News
CMS proposes additional rule to address risk adjustment
The 2018 benefit year will now determine risk adjustment payments to insurers, using the statewide average premium.
Big surge in numbers of hospitals and physician groups signing up for BPCI Advanced
‘One nut that we haven’t really cracked is how we effectively engage patients,’ says bundled payment expert.
CVS MinuteClinic rolls out telehealth app with Teladoc
Pharmacy giant now offering telemedicine services in 10 US states with nationwide expansion planned by year’s end.
Academic Medical Centers are trailing their non-AMC counterparts in cost and quality, Navigant report says
AMCs show higher cost per case statistics and were hit with more penalties from value-based programs, survey says.
Tenet reports increased earnings but delay in sale of Conifer
As a result of divestiture activity at Tenet and other customers, Conifer’s revenue decreased 3.5 percent in Q2 2018 compared to last year.
NHS launches healthcare finance innovation initiative
Chelsea and Westminster Hospital NHS Foundation Trust’s charity CW+ is looking for startups or established companies with back office tech to either develop or tune for healthcare.
CMS is allowing Medicare Advantage plans to cross negotiate Part B and D drug prices
Starting in 2019, insurers may use step therapy to choose the least expensive drug first before moving on to another prescription.
Amidst mega-merger proceedings, Lahey Health CEO announces September retirement
Howard Grant joined the system in 2010 and led it through at least two affiliations that broadened its reach and morphed it into present day Lahey Health.
Humana files suit against 37 drug makers accusing them of price fixing
The conspiracy involving secret meetings resulted in higher prices for insurers, the government and consumers, the lawsuit claims.
