In its second round of online provider directory reviews, the Centers for Medicare & Medicaid Services found that 52% of the Medicare Advantage provider directory locations listed had at least one inaccuracy.
The cost savings demonstrated in this study will support state Medicaid agencies, payers, and other health systems seeking new ways to improve access and quality while reducing telemedicine consults cost.
ACA Increases profitability for insurers, despite significant initial financial losses in the individual market after the key provisions of the Affordable Care Act (ACA) took effect. Health insurer profitability in the individual market rose due to substantial premium increases, government premium tax credits that pay for those premium increases, and the large, government-funded, Medicaid expansion.
Here are 10 instances which can help you better identify when its time to look for a partner.
Verizon has re-examined the data within their Data Breach Investigations Report (DBIR) series to focus in on the healthcare sector’s unique profile and security challenges, and particularly the use/abuse of protected health information (PHI). Verizon’s 2018 Protected Health Information Data Breach Report (PHIDBR) is underpinned by 1,368 incidents from this caseload covering 27 countries.
The promises of value-based payment models came to life within the last 12+ months with results of real world tests. They quickly move to the implementation of useful models and processes. With ramped-up implementations overcoming value-based care barriers step out as real things.
Healthcare Cost and Utilization Project (HCUP) collected the hospital visits and costs associated with different medical conditions classified by the Clinical Classifications Software principal diagnosis category and compiled a report with the ability of comparing medical conditions. The average hospital stay in the US costs just over $10,700, based on an analysis of recent data from the Healthcare Cost and Utilization Project (HCUP). AMA’s latest National Economic Impact of Physicians report provides data…
Verizon has re-examined the data within their Data Breach Investigations Report (DBIR) series to focus in on the healthcare sector’s unique profile and security challenges, and particularly the use/abuse of protected health information (PHI). Verizon’s 2018 Protected Health Information Data Breach Report (PHIDBR) is underpinned by 1,368 incidents from this caseload covering 27 countries.
The promises of value-based payment models came to life within the last 12+ months with results of real world tests. They quickly move to the implementation of useful models and processes. With ramped-up implementations overcoming value-based care barriers step out as real things.
The Senate released its version (a.k.a. Better Care Reconciliation Act BCRA) of the House’s AHCA. Payers and providers adjust as needed because healthcare reforms, like BCRA, AHCA, and ACA, continuously move through state and federal legislatures. Today’s blog, pulls together summaries from numerous resources allowing you a quick glimpse or a deep dive into what waits around the corner.
Here are 10 instances which can help you better identify when its time to look for a partner.
WEA Trust, a Wisconsin-based not-for-profit insurer, does that by protecting patients prescribed opioids for the first time. Its pharmacy utilization management program limits initial opioid prescriptions to a seven-day supply. WEA Trust also collaborates with providers to ensure opioid prescriptions are evidence-based and medically appropriate. In just five months, opiate prescriptions dropped 27 percent, with 91,000 fewer pills dispensed.
