Payers
News
Survey Ranks ‘Fairness’ of Payer Reimbursements
February 7, 2012 - A survey from IVANS Inc., a transactions processing vendor, finds large numbers of its provider customers believe Medicare and Medicaid reimburse more fairly than commercial insurers, even though the government plans pay less.
HIPAA 6020 Put on Back Burner, for Now
February 7, 2012 - Health care stakeholders struggling to comply with the HIPAA 5010 transaction sets need not worry about one thing-- the next-generation 6020 transactions are not coming to a theater near you any time soon.
CSC Report Looks Ahead to Stage 2 Meaningful Use
Health Plan ID, Insurance Exchange Rules Coming Soon
CMS Demo Programs Will Require Providers to Do More to Justify Claims
Vendors Team for Mock HIPAA Privacy Audits
Study: E-Scripts Improve Medication Adherence
5010 – Ready or Not, Here It Comes (Part 3 of 3)
Aetna Wants Dentists to Push Smoking Cessation via iPads
GAO: Medicare Overpaying for Medicare Advantage
Feature Articles
A New Path For Health Care
May 1, 2011 - Nothing is easy in health care communications, but a federal initiative could spur a makeover in data exchange.
My Two Cents
The Medical-Loss Ratio Conundrum
April 20, 2011 - Since I wrote my last blog regarding the confusion that I have with the whole medical-loss ratio mandate, I have been inundated with e-mails and phone calls.
Case Study
Getting Ready for Accountable Care Organizations
April 1, 2011 - Providers are gearing up for new ways to deliver and pay for care while still waiting for details.
Special Report
Overcoming ICD-10 Hurdles
May 1, 2011 - Providers and payers are getting serious about ICD-10, and experienced hands offer some practical advice for taking on the new code set.
Current Issue
A major success factor for accountable care organizations will be linking caregivers across the spectrum of care delivery. If history is any indication, that's going to be an industrywide struggle.
