Category: Health Insurance

Humana and Heritage Provider Network expand in-network Medicare Advantage coverage

The value-based agreement will reimburse physicians based on patient outcomes.

CMS to boost oversight of accreditation organizations through posting of performance data

CMS will now post new performance information on their website, including quality-of-care deficiency findings, and will refine the process for gauging an AOs ability to assess compliance.

Must-Reads Of The Week From Brianna Labuskes

Newsletter editor Brianna Labuskes wades through hundreds of health articles from the week so you don’t have to.

Readmission likelihood increases 2.9 percent each day in rural Appalachia hospitals

Financial penalties for readmissions are mandated by the Hospital Readmission Reduction Program, a part of the Affordable Care Act.

Hospitals and physician groups take on risk in BPCI Advanced model

Voluntary bundled payment model is tied to performance and also qualifies as an APM for MACRA.

Hospitals and health systems should develop strong relationships with urgent and retail clinics

Health data needs to be interoperable for the relationship between health systems and clinics to bridge the consumerism gap.

To cut hospital costs, executives should focus on reducing care variations, Advisory Board says

Research findings indicate that "meaningful" reduction of variations in care is doable and more effective than traditional cost-cutting.

Non-invasive ventilation for COPD reduces costs and hospitalizations, study finds

A chief finding was that patients using NIV at home with a high-touch care model have the lowest overall costs and hospitalization rates.

Podcast: KHN’s ‘What The Health?’ Some Things Old, Some Things New

In this episode of KHN’s “What the Health?” Julie Rovner of Kaiser Health News, Rebecca Adams of CQ Roll Call, Margot Sanger-Katz of The New York Times and Kimberly Leonard of the Washington Examiner discuss final action on bills in Congress to address the opioid epidemic and fund federal health agencies. They also look at new efforts by the Food and Drug Administration to crack down on teen nicotine use.

Atul Gawande to keynote HIMSS19

The CEO of Amazon, Berkshire Hathaway and JPMorgan Chase joint venture will speak at HIMSS19 in February.