Aetna leadership to stay on after CVS deal
Aetna will operate as a standalone unit within CVS and will be run by the insurer's current management team. The deal would create a...
Variety of factors drive wide variation in opioid treatment across the...
Data show a significant variation in utilization and cost of opioid-related treatment, which may be explained by provider capacity, coverage networks or financial incentives.
Modern...
CMS lost $84M in two years for ineligible nursing home stays
The CMS pays millions of dollars a year to nursing homes for taking care of older adults who do not qualify for coverage, according...
ACOs reluctant to move to advanced risk-taking models
Accountable care organizations choose their risk levels in the Medicare Shared Savings Program, and few are willing to assume more risk at this time.
Modern...
Revenue Beneath the Surface
Vast data resources and analytics can identify potential missed coverage opportunities, detect untapped revenue sources, and determine eligibility for financial assistance programs otherwise missed...
CMS slashes navigator funding to just $10 million
The CMS has released an annual funding notice for navigators for the federal exchange. Applicants will compete for just $ 10 million in...
Lack of robust data analysis impedes care improvement efforts
Even though 91% of surgical and medical specialists believe that increasing physician access to cost data would improve care, only 40% said that their...
Medicare buy-in at 50 leads way for Democratic public-option proposals
Democrats in Congress have revived the first of a slate of ideas to expand public coverage with a Medicare buy-in at age 50 bill...
Improving Clinic Profits Through Revenue Cycle Management
Medical professionals spend more money billing and collecting than in any other industry. Even with powerful management software and trained employees, maximizing profit is...
Manatt Health nabs former Memorial Hermann CEO Chu
Dr. Benjamin Chu joined Manatt Health as a managing director, where he will help integrated health systems, academic medical centers and health policy leaders...
