By Markian Hawryluk – With the nation’s capital mired in gridlock and the Affordable Care Act facing a dire legal challenge, the prospects of lowering health care costs for Americans this year seem unlikely. Just don’t tell that to Coloradans.Read More
Healthcare Revenue Cycle and Finance
By Dr. Mansoor Khan – The bumpy transition to value-based care has encompassed a growing array of different risk-based models – from episodic models like Bundled Payment for Care Initiative to population-based models like Medicare Advantage and ACOs.
By Kaitlyn Houseman – When a patient’s insurance claim is denied, not only can your cash flow be affected, the relationship with your patient can be damaged as well. Some claim denials can be successfully appealed, but even when appeals succeed, they can…
By Lance Robinson – Hospital and health system leaders are currently facing multiple threats to the long-term financial stability of their institutions. As healthcare costs continue to rise, private insurers and the federal government are intensifying pressure around payments.
Latest news being reported on payers and the health insurance industry including news from Humana, Cigna, Blue Cross Blue Shield Association, United Healthcare, Anthem, Medica, CVS Health and more.
By Suzanne Cogan – The relationship between payers and providers has come a long way over the last decade, as the push toward value-based care has shifted the dynamic between the two healthcare stakeholders.
(CMS took action to cover FDA approved or cleared laboratory diagnostic tests using Next Generation Sequencing (NGS) for patients with germline (inherited) ovarian or breast cancer.
By Tyler Williams – Healthcare consumerism is changing the way patients and healthcare teams interact. As patients shoulder greater financial responsibility for rising out-of-pocket healthcare costs, their needs and expectations are evolving.
By David Shelton – The call for healthcare price transparency is growing louder, with seemingly obvious benefits. Patients, knowing what they’ll owe, can make informed decisions about their care and how they’ll pay for it.