By Mark Spinner – More than half of all consumers plan to delay non-emergency but medically needed care (58 percent) or diagnostic tests (56 percent) following the COVID-19 outbreak, and the length of care delays increases among vulnerable populations, such as families with children and minorities, an AccessOne survey shows.Read More
Healthcare Revenue Cycle and Finance
By Cameron Wood – From the early stages of the COVID-19 pandemic, healthcare providers have been reaching out to us expressing some of the most difficult decisions they have ever been faced with; Practices are struggling to keep their doors open as costs mount, and revenue has fallen significantly.
By Nathaniel Arana – Physician Reimbursement and the Need for Independent Physician Groups to Assert Their Authority Against Payers. Years before COVID19, a physician I was speaking with asked me why insurance payers hardly ever cover Telehealth.
By David Shelton – The effects of COVID-19 on global health, economies and societies have been well documented and are nothing short of staggering. Millions of Americans face uncertain financial futures, which in turn creates uncertainty for organizations to whom consumers owe money.
By Cameron Wood – Most physicians who have been practicing for a few decades remember the days when private payer reimbursements dwarfed Medicare reimbursements. That dynamic has long since flipped, starting with the 2008 recession.
Latest news being reported on payers and the health insurance industry including news from AHIP, Cigna, Humana, Blue Cross Blue Shield Association, UnitedHealthcare, CareSource, Medica, Haven and more.
By Gregg Church – Hospital-based and commercial labs are flooded with all types of mismatched patient data. However, disparate systems coupled with a lack of universally mandated data standards and protocols means that big data just gets bigger ─ and clinical interoperability challenges just get larger.
By Sanjay Seth MD – The COVID-19 pandemic has created great uncertainty for Accountable Care Organizations. From the complete demise of value-based care payment models to loss of shared savings incentives, ACO concerns abound and rumors run rampant.
Latest news being reported on payers and the health insurance industry including news from AHIP, HFMA, Anthem Inc., Cigna, CVS Health, Humana, InstaMed, UnitedHealth Group and more.