Health insurance plans serve as the financial backbone of health care, functioning as the crucial link between employers and providers in the $2.5 trillion industry. Topics include: claims management systems, quality improvement programs and claims processing standards.
The Electronic Healthcare Network Accreditation Commission, which certifies entities that process transactions or exchange health information for meeting best practices, has released for public comment draft criteria for a new accountable care organization accreditation program expected to be formally launched in early 2015.
Kaiser Permanente Hawaii has launched a new virtual feature available on KP.org, its integrated member resource website. Through a secured email server, patients can now send digital images to their physicians, including pictures of rashes, wounds or other injuries.
Terry Fouts, M.D., chief medical officer of Emeryville, Calif.-based analytics vendor MedeAnalytics, talks with Health Data Management about the current state of analytics, including the integration of data from outside the clinical domain.
Americas patient privacy law, the Health Information Portability and Accountability Act of 1996, has been anything but static. Regulators have pushed to keep it current and to draft forward-looking rules. This fall is no different.
Cigna says it will offer those covered by employer health plans a new technology "ecosystem" platform that combines online, mobile, social media, gamification, and web-based incentives to help customers and their families get the most out of the benefits.
The top 1 percent of patients ranked by their healthcare expenses accounted for 22.7 percent of total healthcare expenditures with an annual mean expenditure of $97,956, according to recent data published by the Agency for Healthcare Research and Quality.
Quality healthcare is necessary to improve the health of disadvantaged populations, but it is not enough to eliminate the adverse effects of limited education.
The Office of the National Coordinator for HIT has named Lucia Savage, senior associate general counsel at UnitedHealthcare, as its new chief privacy officer effective Oct. 20.
Healthcare delivery systems should consider leveraging nurse practitioners and physician assistants, patient-centered medical homes, multi-disciplinary care teams, and health information technology to meet the future demands for primary care, according to a new report from UnitedHealthcare.
Alliance Resource Partners, L.P. the third-largest U.S. coal producer, is seeking new ways to tackle health care costs in its self-funded plan.
The U.S. Food and Drug Administration and Departments of Health and Human Services and Homeland Security will host a public workshop on Oct. 21-22 to develop a collaborative approach to medical device cybersecurity.
The Centers for Medicare and Medicaid Services is reopening the period during which providers can apply for an EHR hardship exception and avoid Medicare reimbursement penalties for failure to attest for meaningful use in 2014.
Federally Qualified Health Centers granted new patient appointments to Medicaid beneficiaries and uninsured patients at higher rates than other primary care practices (non-FQHCs)--in addition to charging less for visits--according to results of a new 10-state study.
While the use of health and fitness tracking devices has more than doubled in the last two years, a new nationwide survey conducted by Nashville, Tenn.-based technology consultancy TechnologyAdvice shows only 25.1 percent of adults are currently using either a fitness tracker or a smartphone app to monitor their health, weight, or exercise.
The American Health Information Management Association on Monday kicked off its 2014 conference in San Diego with a call to stave off further delays in ICD-10.