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The time is now for ACOs, former CMS administrator says
With the prohibitive and rising cost of healthcare, there has never been a greater need for accountable care...
The New IT Landscape For Health Insurers
Periodically, a dramatic change in an industry enables chief information officers to step up and play a decisive role...
Is First Medicare Advantage Cut a Fatal Blow?
CMS reduced Medicare Advantage reimbursements for 2010 and more cuts are expected in the coming years. So don't be...
Mr. President, Use the Scalpel
By cutting payments to special needs plans, the president is in effect decimating programs that could ultimately be the...
Twelve Rounds with Medicare Advantage
Foes have pummeled Medicare Advantage over the past year with sharp lefts and dizzying rights. The latest blow came not...
How Post-acute Care Can Improve Hospital Financial Performance
Although the current economic environment is negatively impacting the entire healthcare industry, many health systems...
Hey, Health Insurers: You're Missing Out
Health insurers lose 3% of its group members annually because they aren't retaining members who retire or lose group...
Three Takeaways from the MHS Project—So Far
CMS' second interim report on the Medicare Health Support project provided reasons why CMS ended the project last year...
Three Things Different About Stark’s HIT Bill
House Ways and Means Health Subcommittee Chair Pete Stark recently introduced a bill designed to encourage nationwide...
What Medicare Beneficiaries Don't Know May Hurt Them
A recent Senate hearing and a study highlighted problems Medicare is having communicating and educating its...
Condition code 44: Best Practices for a Compliant Process
Get advice on creating a process to identify the need for Condition Code 44 and communicating with other departments...
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