Health Plan Payment and Reimbursement

How hospital quality executives are pitching value-based payment to CFOs

Healthcare quality-improvement executives see ways in which an emphasis on value can improve some hospitals’ finances.

Rich Daly November 7, 2019

Healthcare reform moves to the states: Strategies to increase access and control costs

An increasing number of states are looking to improve access and reduce costs by funneling innovations, such as a public option or reinsurance program, through Medicaid.

Pam Nicholson, MBA November 5, 2019

Legislative fight over surprise billing is nearing an end, congressional aide says

Congressional negotiators are said to be close to a compromise on legislation that aims to end surprise medical bills.

Rich Daly October 31, 2019

More Medicaid programs increase hospital payment rates

More states have moved to increase hospitals’ Medicaid rates than to cut them — reversing a pattern from the last fiscal year.

Rich Daly October 22, 2019

Cup of Joe: Matt Eyles, CEO of AHIP

America's Health Insurance Plan President and CEO Matt Eyles discusses how health plans view price transparency and other issues facing the industry.

Erika Grotto October 15, 2019

Information imperatives for successful payer-provider collaboration

A roundtable of payer and provider leaders examines the importance of transparent communication, relationship-building and robust data sharing amid the transition to value-based care.

HFMA October 8, 2019

Optimizing Payment Receipt to Improve Cash Flow and Reduce Error

In this article, CommerceHealthcare® discusses how it marries financial foresight with healthcare insight to help clients rethink and improve receivables management, payment services and patient loan financing and lending processes.

HFMA October 1, 2019

Holliday & Associates: Comprehensive Charge Management Software

A charge management company discusses how it helps clients successfully manage charge processes, comply with changing coding and regulatory requirements, eliminate charge-related compliance risks and ensure accurate and appropriate reimbursement.

HFMA October 1, 2019

2 approaches illustrate best practices in digital patient engagement

Two health plans shared the ways they’ve improved digital engagement with both patients and providers.

Rich Daly September 26, 2019

Verma to insurers: The public is ‘frustrated with you’

Seema Verma, administrator of CMS, says health plans need to become much more innovative, or they will be eliminated due to political pressure stemming from the public’s frustration.

Rich Daly September 26, 2019
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