Healthcare IT Interoperability, EHR interoperability, Hospital Interoperability

Healthcare Insurance

Children’s Health Insurance Program Funding Extended to 2017

by Vera Gruessner

The federal government has key programs to help lower class American citizens obtain the healthcare coverage that they need. The Centers for Medicare & Medicaid Services (CMS) offers Medicaid coverage for those that have healthcare needs....

10 Million Expected to Enroll via Health Insurance Marketplace

by Vera Gruessner

The health insurance exchange created after the passage of the Patient Protection and Affordable Care Act has garnered significant interest and popularity over the last several years. The health insurance marketplace has expanded access to healthcare...

State Workers’ Health Insurance Claims at Risk in Illinois

by Vera Gruessner

Currently, there is a healthcare coverage crisis taking place for state employees in Illinois. CBS reports that the state of Illinois is having major complications related to keeping its budget intact. The state budget issues are impacting health...

OPA Report Cards Let CA Healthcare Consumers Compare Choices

by Jacqueline DiChiara

The California Office of the Patient Advocate (OPA) has released the latest edition of online quality Report Cards intended to help healthcare consumers better compare care quality with the mere click of a mouse or finger swipe across a mobile...

How to Achieve Cheaper Medical Technology Insurance Coverage

by Jacqueline DiChiara

Is more financially sound medical technology the answer? One-third of 2012 Medicare spending in physician or outpatient setting is linked to technology that has only been in existence within the past decade, according to a new paper from...

Poor Consumer Decision-Making in Health Insurance Marketplace

by Vera Gruessner

The health insurance exchange set up by more recent healthcare reforms including the Affordable Care Act was established in order to give consumers more choice in their medical coverage options. This was essentially expected to provide more competition...

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...

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