Tag:
health plans
Latest Headlines
Latest Headlines
MGMA calls for more granular health plan identifiers
The Medical Group Management Association has raised questions about the way the Centers for Medicare and Medicaid Services is approaching its implementation of health plan identification numbers--the association of group practice administrators asked CMS to provide more granular identification of all entities that fund, receive and administer claims.
Hospitals get better insurer rates than docs
Hospitals and outpatient care centers have been more successful at bargaining for higher rates from employer-sponsored preferred provider organization (PPO) health plans than physicians so far this year.
Insurers shift marketing budgets toward individual consumers
Five of the nation's largest health insurers spent a combined $366.8 million on advertising in 2011, an almost 52 percent increase from the year before.
Guest commentary: WellPoint's primary care-centered approach
Lisa Latts
How many of us would choose to feed our family at a multitude of different drive-throughs to meet our individual needs if we had the option of all the care and customization a
State angers insurers with in-depth rate review audits
Insurers operating in New York likely will face scrutiny after the state announced new audits that will question the underlying data and actuarial assumptions used to justify rate hikes. The audits,
Insurers must use standardized electronic payments
Health insurers must use standardized electronic funds transfers (EFT) to send information to their banks and other businesses to pay claims electronically under a new rule issued Thursday by the
3 tactics to take control of payer reimbursement
As demonstrated by the more than 4,700 recent physician remarks about their relations with payers, physicians believe that insurers strive to wear them down with repeated denials and paperwork
WEDI: Providers, health plans falling behind ICD-10 timelines
The Workgroup for Electronic Data Interchange (WEDI) finds that healthcare providers and health plans have fallen behind recommended timelines for the government-mandated switchover to the ICD-10
Modern provider-payer accountable care not a repeat of 90s
Today's accountable care models are not the same as the arguably failed experiments of managed care organizations in the 1990s, said America's Health Insurance Plans' (AHIP) President and CEO Karen
Let's go Dutch: A look at the Netherlands's healthcare
Perusing through my favorite health-related websites this week brought me to a new blog post from the Commonwealth Fund that got me thinking about our overall healthcare system. We all know it needs
