Non-profit hospitals on track for higher operating cash flow and continuing M&A activity, though demographic and policy risks remain
Category: Health Insurance
Analysis: In Medical Billing, Fraudulent Charges Weirdly Pass As Legal
After my husband had a bike accident, we were subjected to medical bills that no one would accept if they had been delivered by a contractor, or a lawyer or an auto mechanic. Such charges are sanctioned by insurers, which generally pay because they have no way to know whether you received a particular item or service — and it’s not worth their time to investigate the millions of medical interactions they write checks for each day.
What Would Happen If The ACA Went Away?
The Affordable Care Act has been on the books for nearly a decade. Parts of it have become ingrained in our health system ― and in our everyday life. But this could change, depending on a long-awaited 5th Circuit Court of Appeals decision regarding the law’s constitutionality.
Accessing medical records improves patient care, but only 10% of patients do so
Use was disproportionately low across all hospital types, suggesting there’s more hospitals could be going to get more people to use the record.
Health and Human Services appeals site neutral payments ruling
Beyond cost, CMS said it adopted the lower payments for hospital outpatient facilities as a method to control unnecessary increases in the volume of services furnished there.
CMS to pay hospitals millions in site neutral payments for 2019
The AHA is calling on CMS to "abandon further illegal cuts for 2020" that CMS says would save Medicare $800 million.
Kaiser Permanente names Greg Adams new chairman and CEO
Before his interim appointment, Adams was Kaiser Permanente’s executive vice president and group president.
Ten former NFL players charged with alleged fraud of healthcare benefit program for retired players
Cigna detected and reported the alleged fraud, in which the former players allegedly submitted over $3.9 million in false claims.
Some Rejoice Over New California Health Insurance Subsidies. Others Get Shut Out.
There’s something new in this year’s Covered California open-enrollment period: Consumers are learning whether they will qualify for new state-funded financial aid. The results are mixed, with some scoring hundreds of dollars per month and others nothing.
Republican satisfaction with U.S. healthcare costs is on the upswing, finds Gallup
For Democrats and independents, the trend is more or less flat, with cost satisfaction clocking in at 9 and 25%, respectively.
