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 […]
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 […]
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 […]
Clampdown on network directories fueling online solutions
HealthcareDive Feature “Providers are struggling to keep up with requests to verify network directory data as health plans comply with increasing mandates. […]
Healthcare executives on overcoming the barriers to payer-provider data exchange
FierceHealthcare Exclusive “The holy grail of data-sharing is integrated clinical and claims data. But there are plenty of barriers, from cost to […]
CMS releases proposed rules on Outpatient and Physician Fee Schedule
HIMSS News “Last month, the Center for Medicare and Medicaid Services (CMS) released two new Notice for Proposed Rulemaking (NPRM).” Read the full […]