Category: Health Insurance

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.

Hospital bad debt rises in tandem with growing share of patient financial responsibility

The trend even includes Medicare bad debt, which results when hospitals exhaust efforts to collect from beneficiaries and must be paid back.

Disparities in opioid abuse treatment increased among Medicaid recipients, shows research

The findings suggest that work is needed to address racial and ethnic disparities that developed as medication-assisted treatment has expanded.

More than half of healthcare organizations are ready for value-based financial changes, survey shows

When it comes to preparation of a value-based infrastructure, the picture is slightly less positive, with 50 percent of respondents reporting it is very weak or somewhat weak.

ACA Protections For Sick Patients Still Popular Despite GOP’s Efforts To End Them

Despite a decision by the Trump administration to ask a court to nullify the portion of the health law guaranteeing coverage to the sick, the Kaiser Family Foundation poll finds most people want insurers to be required to offer coverage and not charge more.

Majority of practices use patient wait lists, but plenty don’t and that could jeopardize patient safety, MGMA says

Major wait times are becoming the norm across the U.S., especially in primary care but also for specialists, MGMA expert says.

Majority of practices use patient wait lists, but plenty don’t and that could jeopardize patient safety, MGMA says

Major wait times are becoming the norm across the U.S., especially in primary care but also for specialists, MGMA expert says.

Blue Cross Blue Shield administrative costs spike by nearly 6% in 2017

Increases were found in all areas, except for claims and customer service functions.