payments
publication date
Payer
Q&A: How Independent Health Is Implementing Real-Time Benefits Checks"This is a much-needed conversation, at the point of care," says plan executive Martin Burruano.
Payer
Healthfirst Case Studies Reflect Better Patient Outcomes Via Health Equity as Care StrategyThe plan describes its approach as a glimpse into what the future of U.S. healthcare could look like.
Payer
Survey on Outcomes-Based Contracts Shows Mixed Results for Novel Therapies"Who is going to pay is the $10,000 question. And it's not just health plans," says one Avalere executive.
Payer
BCBS Plan Targets Behavioral Health to Reduce Total Cost of Care"It's really about connecting the dots. We said, 'Let's build a model that links the behavioral with the physical and...
Payer
CMS Repeals Final Rule on Digital Therapeutics in a Year of Shifting Guidance"[T]he absence of an established, repeatable, and scalable path to commercialization and prescription of DTx has bottlenecked broader uptake," says...
Revenue Cycle
No Surprises Act 101: What You and Your Staff Need to KnowA new issue brief may help revenue cycle leaders to educate people in their departments and within their health system's...
Payer
Blue Cross Equity Initiative Incentivizes Physicians to Close Care Gaps"Data gaps and the lack of race data have been a challenge for years. Physicians can't do these kinds of...
Payer
Medicare Punishes 2,499 Hospitals for High ReadmissionsIn its 10th annual round of penalties, Medicare is reducing its payments to 47% of all facilities.
Strategy
From Sewers to Golf Courses, Cities See Green With New Federal COVID Relief DollarsThe American Rescue Plan Act provides $130 billion to cities and counties ? with few restrictions on how the money...
Payer
An Arm and a Leg': How One State Protects Patients From Hospital LawsuitsThis episode, the fourth in our series on charity care, focuses on how states are protecting consumers against aggressive hospital...
Revenue Cycle
Blue Cross Blue Shield of Massachusetts Will Incorporate Equity Measures into Payment ModelsIt's the first health plan in Massachusetts to announce such a plan, which will start in 2023.
Payer
Novel Treatments Challenge Traditional ReimbursementPaying for high-cost, breakthrough drugs is one of healthcare's abiding challenges?and tied to so many of the "pre-existing" conditions that...