Healthcare IT Interoperability, EHR interoperability, Hospital Interoperability
  • Healthcare Spending Growing at Slower Than Expected Rate

    June 22, 2017 - Expenditures on healthcare grew at a historically low rate between 2009 and 2013, according to a recent report, defying the conventional wisdom that healthcare spending has skyrocketed.  A Robert Wood Johnson Foundation report looked at three main areas of healthcare spending: the national health expenditures (NHE), growth of ACA marketplace premiums, and spending growth in the Medicaid...

  • Balance Billing Hits Patients with Surprise Healthcare Costs

    June 21, 2017 - Patients who received treatment within an in-patient network can still face surprise healthcare costs from balance billing. Balance billing occurs when an individual receives an unforeseen bill for treatment by an out-of-network provider, even while being treated at an in-network facility.  The unexpected balance bill can be devastating to the patient, who often had no idea that the provider...

  • Medica Will Stay in NE and IA Health Insurance Exchanges

    June 20, 2017 - Medica has announced plans to stay in the Nebraska and Iowa health insurance exchanges for 2017.   Although committed to the Nebraska exchange, the payer had previously indicated it was going to leave the Iowa marketplace. Both states are representative of the uncertainty surrounding some health insurance exchanges for 2018.  Although the majority of marketplaces have seen the...

  • Cigna Re-enters Medicare Advantage Market With CMS Approval

    June 19, 2017 - Cigna announced in a securities filing that it had received the green light from CMS to begin offering Medicare Advantage plans again after an 18 month suspension.  The insurer had been banned from offering the popular Medicare supplement products since January 2016 for noncompliance which posed a “serious threat to enrollees’ health and safety,” according to the CMS...


Today's Top Stories

Senate Has Released Bill to Revise ACA Repeal Legislation

The Senate has released the working draft of the Better Care Reconciliation Act of 2017, revising the recently House-passed AHCA.   Both bills aim to repeal and replace the Affordable Care Act (ACA), which was passed in 2010. The AHCA...

Healthcare Spending Growing at Slower Than Expected Rate

Expenditures on healthcare grew at a historically low rate between 2009 and 2013, according to a recent report, defying the conventional wisdom that healthcare spending has skyrocketed.  A Robert Wood Johnson Foundation report looked at...

Balance Billing Hits Patients with Surprise Healthcare Costs

Patients who received treatment within an in-patient network can still face surprise healthcare costs from balance billing. Balance billing occurs when an individual receives an unforeseen bill for treatment by an out-of-network provider, even...

Medica Will Stay in NE and IA Health Insurance Exchanges

Medica has announced plans to stay in the Nebraska and Iowa health insurance exchanges for 2017.   Although committed to the Nebraska exchange, the payer had previously indicated it was going to leave the Iowa marketplace. Both states...

Anthem BCBS Expands Value-Based Care Options with Premier Health

Anthem Blue Cross Blue Shield has partnered with Ohio-based Premier Health to expand its value-based care offerings to its employer-based, individual and Medicare Advantage members. The agreement aligns Premier’s population health model...

Cigna Re-enters Medicare Advantage Market With CMS Approval

Cigna announced in a securities filing that it had received the green light from CMS to begin offering Medicare Advantage plans again after an 18 month suspension.  The insurer had been banned from offering the popular Medicare supplement...

Flexibility and Innovation Needed To Control Medicaid Costs

As state and federal regulators debate the future of Medicaid spending, health researchers have identified the need for flexibility and innovation in Medicaid policies involving payment models, delivery of care and drug costs. The recommendations...

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