Open Payment Site Scheduled for More Downtime, Complaints Continue
August 31st 2014The troubled Open Payment Act website is encountering a bit more turbulence. The CMS announced Thursday that it plans upcoming outages for the site and that downtime would be used for "scheduled maintenance upgrades."
Read More
Incorporating Clinical Event Notifications in HIEs Can Improve Care Coordination, Study Finds
August 30th 2014Regional health information exchanges with clinical event notification services have the potential to improve care coordination and possibly reduce unnecessary inpatient admissions and duplicate testing, according to a study in Generating Evidence & Methods to improve patient outcomes.
Read More
CMS Finalizes EHR Meaningful-Use Rule, Adds Some Flexibility
August 30th 2014The CMS late Friday finalized a rule allowing hospitals and eligible professionals more flexibility in how they meet meaningful-use requirements for the electronic health-record incentive program. The agency had first proposed the idea in a May draft rule.
Read More
Is Pennsylvania A Sign that More Customized Medicaid Plans Are On the Way?
August 29th 2014Yesterday's announcement that Pennsylvania will become the 27th state to expand Medicaid under the Affordable Care Act was closely watched in both healthcare and political circles, for it shows further accommodation to both local health needs and political considerations. Will Pennsylvania's deal with the Centers for Medicare and Medicaid Services be the last, coming after Arkansas and Iowa? Or is it a sign that Medicaid, which has always combined federal mandates with some local flavor, will continue to shift with the political winds in the states?
Read More
Reform Update: Facing ACA Mandates, Insurers Diversify Into Technology
August 29th 2014Health insurance companies, now required to spend the lion's share of premium revenue on patient care, are looking for higher investment returns elsewhere. As a result, they're increasingly putting money into technology ventures where they expect to realize higher returns.
Read More
Aetna's Repayment News Points Up Billing Truth: Treatment in Hospitals Costs More
August 28th 2014This week's news that Aetna would be repaid $8.4 million after uncovering a questionable relationship between three clinics and a hospital has its roots in a well-known managed care reality: If you're treated in a hospital setting, it costs more.
Read More
Tracking Spending Among the Commercially Insured
August 27th 2014Recent growth in health care spending for commercially insured individuals is due primarily to increases in prices for medical services, rather than increased use, according to a new study led by researchers at The Dartmouth Institute for Health Policy & Clinical Practice, published today in the American Journal of Managed Care.
Read More
Florida Race Could Turn on Medicaid Expansion
August 27th 2014The race will feature a Republican turned Democrat against a one-time supporter of Medicaid expansion who now isn't so sure. But this much is certain: in Florida's race for governor, health care will take center stage, as former Gov. Charlie Crist tries to unseat incumbent Gov. Rick Scott.
Read More
Behavior Counseling for Obese and Overweight, Says USPSTF
August 27th 2014The recommendation, based on a review conducted by KPRA EPC, identified significant changes in metabolic parameters like glucose, blood pressure, and LDL, following counseling, among individuals with cardiovascular risk factors.
Read More
Medicare ACOs Can Learn Lessons From Earlier Demo Project
August 26th 2014The precursor to Medicare's large and growing accountable careprogram ran five years and ended the month after the Affordable Care Act became law. The results, summarized in a new report, have proved prescient and may inform policy changes the CMS is expected to issue soon.
Read More
New Head of Healthcare.gov Is Connecticut's Counihan
August 26th 2014Kevin Counihan, the head of Connecticut's health insurance marketplace, will be the new CEO of healthcare.gov, the website that 36 states use to sell Affordable Care Act insurance, the administration announced at noon today.
Read More
A Year After Supreme Court Ruling, Myriad's Legal Battles Are With Its Competitors
August 26th 2014If anyone thought Myriad Genetics' legal battles were over when it lost at the US Supreme Court in 2013, that person would be wrong. In many ways, the ruling in Association for Molecular Pathology v. Myriad Genetics, which found that a naturally occurring DNA sequence cannot be patented, was just the beginning for the Salt Lake City-based testing company.
Read More