Category: Health Insurance

Telehealth and the law: What hospital executives should know about kickback and false claims rules

The federal Anti-Kickback Statute and the Stark Law have some strict requirements for compliance, and providers would do well to take note.

Paladina Health acquires Activate Healthcare, creating large provider of value-based care

The collaboration results in a value-based primary care provider that serves more than 170,000 patients in 18 states.

Furloughed Feds’ Health Coverage Intact, But Shutdown Still Complicates Things

Some federal employees face insurance paperwork glitches that affect their health coverage and add pressure to the stress of going without pay.

Healthcare stocks remain strong after a solid 2018, Reuters says

Investors are more comfortable with healthcare than other sectors because it’s less susceptible to fluctuating economic cycles.

Podcast: KHN’s ‘What The Health?’ Drug Prices Are Rising Again. Is Someone Going To Do Something About It?

As drugmakers hike prices, interest to rein them in grows on Capitol Hill. Next week marks the anniversary of Roe v. Wade, the Supreme Court’s abortion decision, and both the House, whose leaders back abortion rights, and the Senate, controlled by abortion foes, are holding statement votes. And the government shutdown is still affecting health programs. Joanne Kenen of Politico, Margot Sanger-Katz of The New York Times and Alice Ollstein of Politico join KHN’s Julie Rovner to discuss these issues.

Decision support can guide clinicians to prescribe lower cost alternatives

Minor differences in co-payments sometimes mask exponential differences between similar generic formulations.

Healthcare executives should invest in value-based care technologies now, Deloitte says

The consultancy advises hospital executives to ramp up technology initiatives to support new payment models now

Patient-directed Utah Health Information Network increases engagement and care management

By empowering patients with a single access point to all their data, the exchange also benefits providers and payers.

ZappRx and Bayer partner to improve access to specialty medications

Providers get a reduced wait time in the prior authorization process, which is usually a manual and paper-based.

How capital for hospital renovations can be freed by unloading medical office buildings, other real estate

Many hospitals and health systems are reluctant to relinquish control of medical office buildings, but doing so can free up much-needed capital.