Healthcare IT Interoperability, EHR interoperability, Hospital Interoperability

Healthcare Insurance

Major Iowa Insurer Joins Obamacare Health Insurance Exchange

by Vera Gruessner

The Patient Protection and Affordable Care Act under the Obama administration, which is colloquially known as Obamacare, set up a health insurance exchange platform that enables consumers to pick and choose which type of healthcare coverage is...

Three Steps to Address Healthcare Spending of New Technologies

by Vera Gruessner

Healthcare spending accounts for a wide variety of procedures, services, and technologies adopted or offered by medical providers, payers, and patients. In recent years, the healthcare industry has also begun implementing new technologies and...

How the ICD-10 Transition Deadline Changed the Nursing Role

by Vera Gruessner

The October 1st ICD-10 transition deadline has passed and the healthcare industry still seems to be holding steady. However, only time will tell whether healthcare payers and providers were truly ready for the move to the new ICD-10...

Will New Model of Accountable Care Organizations Cut Costs?

by Vera Gruessner

There are a variety of policy changes and healthcare reforms that have taken place since the Patient Protection and Affordable Care Act was passed in 2010. The development of Accountable Care Organizations (ACOs) is one such reform. With the...

More Time for Patient Care with Concierge Model of Medicine

by Vera Gruessner

There are a wide variety of different payment models being implemented across the healthcare industry. Providers and payers are deciding which will provide the best quality of care while, at the same time, lowering costs. From free-for-service...

Do Bundled Payment Models Pose Complications for Surgery?

by Vera Gruessner

Due to ongoing reforms in the healthcare industry, both federal government agencies as well as insurance companies are looking to renovate healthcare payment methods. Value-based care instead of fee-for-service is one example of the innovative...

Will the Move to ICD-10 Medical Coding Delay Claims Processing?

by Vera Gruessner

The health insurance space is about to have a major transformation in medical coding that could potentially cause financial barriers and claims processing issues. If the transition to ICD-10 medical coding is not properly managed, a variety of...

Issues Surround Health Insurance Marketplace despite ACA

by Vera Gruessner

The health insurance marketplace underwent tremendous transformations with the passage of the Obama administration’s Patient Protection and Affordable Care Act. New regulations have required everyday citizens to purchase health insurance...

Do All Health Insurance Exchanges Follow Federal Regulations?

by Vera Gruessner

Ever since President Barack Obama and his administration passed the Patient Protection and Affordable Care Act, the development of the health insurance marketplace was born. The law requires every individual to purchase health insurance or else...

ICD-10 Implementation Deadline Affects Claims Processing

by Vera Gruessner

Healthcare payers have a wide variety of concerns with regard to the coming ICD-10 implementation deadline and will need to be prepared for any potential issues that may pop up after the October 1, 2015 deadline. With a mere six days left, those...

Accountable Care Organizations Cut Costs by $411 Million

by Vera Gruessner

The medical industry has been focused on improving coordinated care across the spectrum of healthcare delivery. With ongoing healthcare reforms taking place around the country and the federal government taking a stronger role in improving patient...

Healthcare Insurance Rates Rise by 2.9% in 2014, Census Says

by Jennifer Bresnick

The rate of uninsured Americans decreased by 2.9 percent between 2013 and 2014, says the latest data from the US Census Bureau, thanks to higher rates of coverage for private and government payers.  In 2014, only 33 million Americans lacked...

Insurance Mergers Will Not Benefit Consumers, AHA CEO Says

by Sara Heath

Health insurance mergers continue to raise antitrust concerns for the American Hospital Association (AHA). On September 10, AHA President and CEO Rick Pollack testified before the House Judiciary Committee panel regarding the association’s...

AMA: Insurer Mergers Expand Market Power, Reduce Competition

by Sara Heath

Healthcare mergers have been of great discussion as of late, as  Aetna announced its $37 billion acquisition of Humana, and Anthem its acquisition of Cigna. Although Aetna and Anthem officials state that these mergers will benefit the healthcare...

$67M ACA Funds to Help Affordable Health Insurance Enrollees

by Jacqueline DiChiara

The Centers for Medicare & Medicaid Services (CMS) announced yesterday an abundant $67 million in Affordable Care Act (ACA) grant awards to aid outreach initiatives and help those individuals confused about health coverage and financial assistance...

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