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.

CMS Gives a Push to Skilled Nursing HIE

CMS Restarts Parts of the RAC Program

Using ‘Behavioral’ DNA to Hire the Right Candidate

What to Do About Stage 2

Small Physician Practices Face Barriers in Using Telemedicine

Final Rule Establishes New ICD-10 Compliance Date

Platform Finds Inconsistent Out-of-Pocket Costs for ACA Plans

UnitedHealthcare Releases Mobile App to Non-Members

Subsidy Ruling Could Further Delay Employer Mandate

New ACO, Practice Management Accreditation Programs Launched

Major Changes Underway in the Healthcare Market

Excitement Tinged with Caution Follows IBM-Apple Deal

Aetna Looking to Work with Providers on ACOs

Predictive Analytics Continue to Elude Healthcare

EHRs Not Enabling Systemic Fraud, Say Researchers

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