Latest news being reported on payers and the health insurance industry including news from athenahealth, Horizon Healthcare Services Inc., UnitedHealthcare, Anthem, CVS Health, Blue Cross Blue Shield Association, UnitedHealth Group, Humana, Medica, Oscar Health, and more.Read More
Healthcare Revenue Cycle and Finance
More than 500 accountable care organizations, medical practices, and health systems urged leaders in Congress in a letter sent to preserve important Medicare bonuses that encourage participation in risk-bearing alternative payment models.
By Pamela J. Gallagher – Hospitals and health systems have spent the past decade responding to patient and government demands for increased price transparency, and the demand only continues. While the healthcare industry has made strides in ensuring patients know the cost of their care up-front…
By Pavani Munjuluri – When it comes to intelligent process automation (IPA) in healthcare, multiple stakeholders drive technology adoption. Payers, providers and patients all bring their own unique interests and perspectives on how healthcare should operate and in what areas IPA should be used.
Latest news being reported on payers and the health insurance industry including news from Blue Cross Blue Shield Association, CarePlus Health Plans, CareSource, Humana, Independence Health Group, Cigna, AHIP, Molina Healthcare, Priority Health, UnitedHealthcare, Anthem Inc., CVS Health and more.
By David Shelton – A staggering 90% of physicians say manual prior authorizations are a concern, according to the 2019 CAQH Index. Further magnifying the current situation are payers’ intentions to increase prior authorization requirements for even more services in the near future.
By Pamela J. Gallagher – Patients have been begging for affordability for decades, and the healthcare industry’s reluctance to innovate and adapt to patient demands has left a door open for retailers to move into the healthcare business. I believe this will be great for healthcare, but potentially disastrous for health systems.
Latest news being reported on payers and the health insurance industry including news from Cohere Health, Humana, HST, UnitedHealthcare, Anthem, Bind Benefits, CVS Health, Blue Cross Blue Shield Association, Cigna Corporation, Oscar Health, Aetna and more.
By Angela Jordan – The Transitional Care Management codes (99495, 99496) introduced in 2013 allow providers to report and capture reimbursement for the work involved with providing continuity of care to patients discharged from a hospital or other qualified stay, back into their community setting.