Is Managed Care the Answer to Reduce Medicaid Drug Costs?
Healthcare costs are continuing to rise. Medicaid continues to expand. What is the best way to regulate medicaid drug costsprescription drug costs for the Medicaid community?
Congress Freaked Out About Paying Full Healthcare Exchange Premiums
The PPACA has a provision which requires Congress to receive insurance coverage through the new exchanges. However, there aren’t any provisions as to how the premiums will be paid. Congress is scurrying to resolve.
Top 5 Reasons Hospitals are Losing Money
So you know the major reasons why hospitals are losing money? Follow BHM Healthcare Solutions to stay updated on the reasons hospitals are losing money and much more.
Are Accountable Care Organizations Failing?
Are Accountable Care Organizations Failing? Are Accountable Care Organizations failing? By definition, an Accountable Care Organization (ACO) is a type of healthcare organization that is characterized by a payment and a care delivery model that seeks to tie physician reimbursement to certain quality metrics and reductions in the total cost of care of a particular patient population. […]
EHR Meaningful Use 101: Defining Meaningful Use
We have been discussing Meaningful Use for some time now, and several of our readers have been asking for us to go back to the basics to explain in broad terms what it is, how it impacts healthcare, and what are the top things that individuals and organizations need to know. In response to this request, we are pleased to present this post where we will go back and explain the basics, EHR Meaningful Use 101 so to speak. We hope that you find this helpful!
How IRS Enforces ObamaCare
The IRS enforces ObamaCare by issuing rules. These rules become final once they are officially signed off by IRS and Treasury Department officials. The IRS has in fact issued the final rules that detail how it will enforce ObamaCare. Specifically, you will find information below for how the IRS will enforce the individual mandate.
Are We on the Brink of Brinkmanship with the Debt Ceiling?
We are encroaching upon brinkmanship as of September 2013. Opposing political sides are at a crossroad as to how to handle the debt ceiling and how it should be raised – with or without additional spending cuts.
Where Do the 50 States Stand on Medicaid Expansion?
Medicaid expansion is a highly debated issue. Medicaid expansion is part of the Patient Protection Affordable Care Act, aka Healthcare Reform, aka Obamacare. This particular provision is designed to expand Medicaid to millions of Americans by increasing the income level at which individuals qualify.
Pioneer ACOs: Some Say Risk Not Worth Reward
Pioneer ACO Experiment Produces Mixed Results After a one year experiment with the Medicare Pioneer Accountable Care Organization (ACO) Model which has 32 participants, nine of these organizations will be transferring to another Medicare shared savings program,while two are dropping from the program completely. Another 10 organizations saw no cost savings in the first year, […]
Did You Receive Your Health Insurance Rebate?
Rebates are planned to be distributed this summer by companies who have exceeded the Medical Loss Ratio. Will you be one of the recipients?