Topic:

Operations & Business Management

Latest Headlines

Latest Headlines

CMS provides in-depth guidance on discharge planning

The Centers for Medicare & Medicaid Service has revised its  guidance  on discharge planning, offering hospitals in-depth guidelines to help promote better patient care outcomes and reduce readmissions.

Military provider payments delayed indefinitely

Sequestration cuts to the Defense Health Program (DHP) will delay Tricare contract payments to providers, according to a report from the Democratic Minority of the House Appropriations Committee.

Primary care physicians rely more on ER docs to evaluate their patients

Hospital admissions from the emergency room increased by 17 percent over seven years, in part because primary care physicians often rely on the emergency physicians to evaluate and hospitalize their most complex and sickest patients, according to a new report from the RAND Corporation.

Judy Faulkner: Criticism that Epic system stymies interoperability 'unfair'

Responding to criticisms that Epic's electronic health record systems are closed and, thus, difficult to integrate with third-party vendors, CEO Judy Faulkner, in a rare  interview  granted to  Forbes , called such accusations "totally wrong."

Medicare Advantage poised for strong membership growth

Medicare Advantage enrollment might increase by as much as 50 percent in the next 10 years, according to the latest budget analysis.

AHIP funded small business's campaign against premium tax

America's Health Insurance Plans funded hundreds of thousands of dollars to a popular small-business trade association to help repeal the reform law's premium tax on insurers, the National Journal Daily reported.

States' exchange outreach, education budgets differ greatly

Insurers should keep a watchful eye on their states' financial expenditures, as this may be the best indicator of whether they will enroll large amounts of new consumers shopping on the health insurance exchanges.

Premiums drop, coverage expands in Washington's exchange

Despite predictions of rate shocks, most consumers in Washington state will actually see lower premiums and enhanced coverage when they buy insurance through the state's health insurance exchange.

No Medicaid expansion till 2015 for Pennsylvania, top official says

As Pennsylvania lawmakers consider whether to expand their Medicaid program under the reform law, a top state official said even if Gov. Tom Corbett approves, it would take until at least January 2015 to negotiate and implement the expansion.

State wants pre-existing condition plan left alone

Pennsylvania Insurance Commissioner Michael Consedine has asked the U.S. Department of Health & Human Services to leave in place the federal program for people with serious health problems, LifeHealthPro reported.