Public Poll, Verma Reject Single-Payer
July 25—The administrator for the Centers for Medicare & Medicaid Services (CMS) said she is likely to reject an expected single-payer proposal from California. Her position echoed the sentiments of a national poll released this week.
Payer access to EHR data improves cash flow
Sharp Healthcare gives some payers limited access to their members’ EHR data, which reduces the time-consuming cycle of level-of-care authorization denials, appeals, and ultimate approvals.
PHI Disclosure Management in the Business Office: Two Options for Greater Efficiency
Don Hardwick describes ways healthcare organizations can improve the process of releasing medical records to insurers.
Insurer Data Requests Prompt Hospital Policy Overhauls
March 12—As health insurers increasingly get involved in patient care management, they are requesting clinical data on individual patients from hospitals and health systems.
What Anthem’s Imaging Policy Means for Hospitals
Hospitals that own outpatient imaging departments should not ignore the significance of Anthem’s new imaging site-of-care policy.
Did Prices Drive Recent Healthcare Spending?
Jan. 30—Healthcare prices were cited as the driver of the recent surge in healthcare spending, but that conclusion may be missing the whole picture, according to some researchers.
Overcoming Common Obstacles of Transitioning to Electronic Insurer-to-Provider Payments
A Pennsylvania health plan worked with providers to implement electronic payments and eliminate the issues of paper checks.
Hospital Spending Growth Slows in 2017
Jan. 22—Hospital spending grew less than half as fast in 2017 as it did the year before, according to a recent economic trends analysis.
Of Noise and Signal: Why Bundled Payment Keeps Moving Forward
CMS has not moved decisively in developing bundled-payment, episode-of-care payment models, leaving states and health plans to lead the way with innovative approaches.
Trend Toward Increasing Payer Deductions Continues
Payer deductions continue to increase, with government payers far exceeding private and managed care plans.