Fee-for-service vs. value-based reimbursement is a somewhat controversial topic in health care at the moment. There have been tremendous reforms in
Source: Fee-for-Service vs. Value-Based Reimbursement | Steven Krohn | Pulse | LinkedIn
In this comprehensive guide to cybersecurity, Healthcare Dive explores why cybersecurity is important for hospitals, how cyberthreats are looming over the industry and what CIOs and CISOs worry about while on the job.
Source: Cybersecurity — What healthcare administrators need to know | Healthcare Dive
Health insurance companies are still wondering about the long-term policy to cover the cost of insuring 7 million low-income Americans.
Source: Continuation of cost-sharing subsidies won’t ease insurers’ uncertainty | Healthcare Dive
The results can be tragic. Patients with addictions are unlikely to wait the hours or days it takes health insurers to approve the medications they need. Insurers are changing their practices, but not without some outside pressure.
Source: Are Insurers’ Prior Authorization Rules Killing Opioid Addicts? | Managed Care Magazine Online
In a time of rapidly transforming communication technologies, developers and researchers are creating new ways to track and combat disease. A new book presents an integrated look at the methods that are shaping the use of communication technology in health care.
Source: New Book Looks at Communication Technology in Global Health | RTI-HS
Iowa’s controversial move to privatize its Medicaid program has cost participating insurers an estimated $450 million in losses.
Source: Iowa requests CMS pay up to $225 million for Medicaid managed-care losses – Modern Healthcare
Every year, physician groups take doctors’ temperature on the issue of pay, and every year, they are feverish.
Source: How Doctors Are Paid Now, And Why It Has to Change | Managed Care Magazine Online
While coupons help individual consumers, they are also having a major impact on the insurance industry and anyone responsible for paying health care bills. Insurers and pharmacy benefit managers complain that they foil formularies and other pricing strategies designed to steer consumers to less-expensive drugs.
Source: Health Insurers Often Foot Bill When Drug Coupons Are Used | Managed Care Magazine Online
When Harvard Pilgrim Health Care recently unveiled value-based contracts for two expensive medications, etanercept (Enbrel) and teriparatide (Forteo), the news caused a stir
Source: Value-Based Contracting Between Insurers and Drug Companies Faces Tough Hurdles | Managed Care Magazine Online
Although team-based care improved cardiovascular disease risk factors, it had a negative financial impact on a primary care practice.
Source: The Financial Impact of Team-Based Care on Primary Care