Value-Based Purchasing: The Basics
Heart Attack Research Reinforces New Preventative Health Strategy
Increased Audits Could Equal A Streamlined Response for Healthcare Organizations
Many Healthcare Organizations and hospital systems are moving towards a more systematized, shared response as more and more state and federal program-integrity contractors get ready to unleash their auditing power. Among the amalgam of acronyms that have emerged with the evolution of healthcare reform are: RAs, the comprehensive error rate testing (CERT) contractorderal, zone program […]
Exchange Development Could Advance As State’s Flexibility Increases
Learn more about exchange development and the flexibility states may now be afforded on our Insights page.
Hospitals May Be Pressured to Change
Exploring Medicaid Managed Care Expansion
Mental Health Parity Law – Effective After Three Years?
Is Parity Possible? New Questions Arise
Is Parity Possible? The Mental Health Parity Act was signed into law in September 1996. It states that services treating mental and substance abuse disorders and medical-surgical conditions must be the same, including coinsurance, co-payments and limits on days and visits. New Questions Arise There is quite a bit of controversy about whether parity is […]
Building State Exchanges – And the Challenges
Some of the top obstacles states will face as they create insurance exchanges as dictated by the Affordable Care Act under healthcare reform.
Reliance on Medicaid Managed Care Grows
According to a new national survey, more and more states are relying on Medicaid managed care plans, and the federal healthcare reform law hasn’t even been fully implemented yet. These states anticipate turning to Medicaid managed care organizations (MCOs) as a way of handling budgetary pressures as well as dealing with the estimated 16 million […]