If a patient doesn't pay his health insurance premiums, the insurer doesn't have to pay the provider for care rendered during the grace period. That means that up to two months of provider services may not be reimbursed. >>>
Taking a more strategic approach to payer relationships may be the key to surviving new reimbursements models. >>>
Medical doctors are facing revamped board recertification requirements that are "expensive, burdensome, and detract from the care of the patient," says David Fleming, president of the American College of Physicians. >>>
A recent conversation with a hospital president in Nebraska shows that it's not always payers who are forcing the value-based conversation. >>>
A California beneficiary trained to spot fraud saw something on her Medicare summary notice and said something to her local fraud patrol organization, sparking a multi-year federal investigation and ending in jail time for fraudsters. >>>
Thanks to healthcare reform, there are now more eyes on how doctors treat their patients and more opinions on how they should be treating them. But one physician leader says the pressure doesn't necessarily mean that doctors have to be on the defensive. >>>
Even though reimbursements remain heavily tilted to fee-for-service, healthcare organizations are making big mistakes if they aren't marrying clinical and financial metrics and engaging in data analytics, says HFMA's president. >>>
Halfway through the PPACA open-enrollment period, health insurance carriers in more than two dozen states had only about six weeks to resurrect non-PPACA-compliant policies. Medica found a way to revive 81 "zombie," or transitional policies. >>>
This report reveals how Firelands Regional Medical Center, Kaleida Health, and UC Davis Medical Center are introducing new programs aimed at care redesign, care standardization, and driving waste out of healthcare delivery.
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The Miami Herald / Associated Press, June 25, 2014
Brattleboro Reformer, June 25, 2014
Sun Times, June 24, 2014
The Washington Post, June 24, 2014
The New York Times, June 24, 2014
Chicago Tribune / Kaiser Health News, June 23, 2014
ProPublica, June 23, 2014
The Boston Globe, June 23, 2014
The Hill, June 20, 2014
Bloomberg, June 20, 2014
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