Payers

HxOne Is Here

A New Approach to Health Plan Operations

HealthAxis releases an advanced all-in-one solution to administer claims, third-party services, and data analytics for Health Plans  Tampa, FL, (September 23, 2020): […]

HealthAxis Group to exhibit at AHIP Institute

HealthAxis Group to exhibit at AHIP Institute Location: Music City Center | Nashville, Tennessee Date: June 19, 2019 – June 21, 2019 […]

How Payers Could Assist Primary Care Docs with Value-Based Care

AHIP asks CMS to change Medicare Advantage payment formula

The Centers for Medicare and Medicaid Services should update its county benchmark calculation in the 2019 final notice being published April 2. […]

The Next Obamacare Battleground: Subsidies For Out-Of-Pocket Costs

Reducing healthcare costs not one-size-fits-all, report finds

A new Network for Regional Healthcare Improvement (NRHI) report that reviewed healthcare costs for five states found huge differences concerning costs and […]

Payers, Providers Pledge to Improve Prior Authorizations

AHIP, BCBSA, AHA, and other organizations have agreed to improve the efficiency of prior authorizations. “Leaders of organizations participating in the pledge […]

How Payers, Providers Could Streamline Medical Claims Management

All-Payer Claims Databases Offer Insights into Healthcare Spending

The data from an all-payer claims database can reduce wasteful healthcare spending by supporting population health and analytics-driven healthcare decision making. “All-payer […]

CMS launches voluntary bundled payments model, first since spiking mandatory bundles

The agency’s Innovation Center said the new Bundled Payments for Care Improvement Advanced model is the first APM that would qualify under […]

Medical Device Data, UDIs on Claims Impact Costs, Patient Safety

According to recent reports, payers who incorporate medical device data and UDIs into their claims may improve costs and patient safety. “Adding […]

Does Blockchain Have A Place In Healthcare?

Quality Payment Program needs more technical assistance, oversight, OIG finds

A new report by HHS’ Office of Inspector General gives CMS points for making significant efforts to implement the Quality Payment Program […]

CMS says it will change direction of CMMI

CMMI’s new direction is to promote patient-centered care and test market-driven reforms “CMS innovation center programs in limbo as officials say free […]