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 U.S. health-care laws projected tax bite on businesses with more generous health benefits is dropping as medical spending slows and employers look to rein in the cost of coverage.
The Electronic Healthcare Network Accreditation Commission will host a free 90-minute Web seminar on May 30 to walk through using the Direct Project secure messaging protocols to comply with Stage 2 electronic health records meaningful use measures.
Annual increases in the nations health care spending have significantly fallen in recent years, but that trend is longer than commonly believed, and it isnt yet clear if the trend is permanent, according to a new study published in Health Affairs.
HITRUST, a health industry consortium best known for developing the Common Security Framework of best practices, now has several of its members that will require business associates to follow the framework and document compliance with it.
Health care accreditation firm NCQA announced in January 2013 a new program to credential patient-centered medical home content experts. Now, it has posted contact information for more than 100 credentialed experts in 29 states on a new Web site.
The belief that a pure information technology professional, once trained, can fill the role of a Healthcare I.T. Subject Matter Expert is becoming more widely accepted, and if perpetuated, has the chance to create more issues than it solves.
Adelante Healthcare is a federally qualified health center in Mesa, Arizona that was formed in the late 1970s to serve migrant workers. Back then, clinicians worked out of ramshackle trailers. Today its a different story.
The Office of the National Coordinator for Health Information Technology has issued guidance on how health information service providers and health information organizations can support providers in meeting the electronic health records meaningful use criteria for transition of care measures.
The HHS Health Resources and Services Administration is offering $150 million in grants to community health centers across the nation to provide in-person enrollment assistance to patients who are uninsured.
In the Leapfrog Groups Spring 2013 update of its Hospital Safety Score, 780 out of 2,514 analyzed hospitals get an A grade for their efforts to protect patients from infections, injuries, and medical and medication errors.
Michigan Health Connect, a large regional health information exchange, is connecting fire departments and emergency medical services to its network that links 67 hospitals including eight delivery systems, and ancillary providers across the lower peninsula of the state.
The Pentagon rebuked UnitedHealth Group Inc., the nations largest insurer, after military families began experiencing long delays getting medical-care referrals from the company.
Pricing by hospitals across the nation for treating the 100 most common Medicare inpatient stays now is publicly available from the Centers for Medicare and Medicaid Services.
The Centers for Medicare and Medicaid Services has published guidance on avoiding a 2 percent reduction in Medicare payments for physicians who are not participating in the Electronic Prescribing Incentive Program by June 30, 2013:
Thirty health care and patient safety organizations have sent a letter to Congress asking for $31.5 million to fund the National Healthcare Safety Network, which tracks healthcare-associated infections.