Payer Views: Innovating Healthcare through Comprehensive Health Plans
Explore how comprehensive health plans drive innovation, improve outcomes, and reduce healthcare costs.
10 FAQs About The CMS Final Rule-0057-F
Discover answers to key questions about the CMS Final Rule for payers & providers. Stay compliant and informed with BHM Healthcare Solutions.
Ensuring Healthcare Compliance: Navigating the Complexities
Healthcare compliance is a critical aspect of the healthcare industry, ensuring adherence to federal healthcare laws and regulations. It plays a vital role in preventing fraud, abuse, and waste, while upholding ethical standards for patient treatment. However, healthcare compliance is not a simple or straightforward task.
Revolutionizing Healthcare: The Role of Informatics
One such transformative field is healthcare informatics, which harnesses the power of information technology and data analysis to improve patient care, enhance operational efficiency, and drive innovation.
Payers Intend to Increase ACA Plans Offered in 2020
Today eHealth, Inc. released results from a survey of health insurance companies touching on enrollment trends, public policy issues, and the politics of health care in the United States.
AMA Survey: Prior Authorization Hurdles Lead to Adverse Events
Insurance prior authorizations for certain drugs, tests and treatments continue to burden medical practices and could negatively affect patient outcomes, according to new survey results from the American Medical Association.
Rate of Uninsured Children Growing
The uninsured rate among children increased between 2016 and 2017, representing 276,000 more uninsured children across the U.S. and the first observed increase in uninsured children since 2008, according to a recent report by the Georgetown University Center for Children and Families.
ACA Plan Enrollment Declines to 8.5 Million People
Signups through the ACA health insurance exchanges declined year over year during the 2019 open-enrollment period, CMS revealed on Dec. 19.
Insurers Say Automation is Needed for Operational Efficiency
Insurers see outdated technology and a lack of automation as key challenges holding back their organization's operational efficiency and driving up costs, according to new survey results from HealthEdge.
AHA Urges Creation of Stark Law Exception
The American Hospital Association has made various recommendations to ease the burdens of Stark Law compliance, including protection for value-based payment arrangements.