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Workplace medical clinics were once a benefit reserved for employees at only the largest companies with the deepest pockets. But now some vendors are helping groups of small and midsize employers provide convenient primary care at share..
Two national insurers and a Michigan health system are joining a new pilot project aimed at simplifying physician credentialing with blockchain technology. WellCare and Spectrum Health are among the founding participants in a pilot proj..
The Trump administration wants to give more freedom to states overseeing Medicaid managed care and shift network adequacy standards. On Thursday, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (PDF) that u..
Dive Brief: New business models are disrupting medical care, putting pressure on companies to rethink their strategies or risk being left behind, according to a new PwC Health Research Institute report. HRI points to four new archetypes..
Athenahealth has agreed to be acquired by a Veritas Capital and Evergreen Coast Capital affiliate for $5.7 billion, the companies announced Monday morning. Athenahealth will continue to be its own brand, but Veritas and Evergreen will m..
Dive Brief: With its final Outpatient Prospective Payment System (OPPS) rule for 2019, CMS is eliminating the pay discrepancy Medicare beneficiaries face visiting a hospital-owned outpatient setting as opposed to a traditional doctor..
Dive Brief: Cigna announced Thursday its revenue increased by 9% to $11.5 billion in the third quarter and credited growth in its global healthcare and supplemental benefits segments. The Bloomfield, Connecticut-based payer’s adju..
Dive Brief: From large hospitals to small clinics, providers are pursuing different functionalities in the secure communications they purchase, and the industry is responding to those demands. But wide variation exists in what vendors a..
The healthcare industry’s level of “distress” is far higher than in the broader economy, according to a new report. The latest Polsinelli-TrBK Distress Indices for healthcare, which uses Chapter 11 bankruptcy filings for entit..
Doctors spoke, and CMS listened—delaying any changes to codes for Medicare patient visits until 2021. While the Centers for Medicare & Medicaid Services moved ahead with parts of its plan to consolidate codes for Medicare patient ..
- 1. ACOs may affect physician employment patterns, JAMA study finds
- 2. OIG: CMS paid out $434M in improper premium assistance payments
- 3. Opioid prescriptions aren’t decreasing, study finds
- 4. ACOs using medical home physicians save money, yield higher quality, report finds
- 5. Uninsured rate stays stable in 2018
Affordable Care Act (ACA)
chronic care management
Doctors Administrative Solutions
electronic health records
Merit-based incentive program
quality payment program