Financial Management

Latest Headlines

Latest Headlines

Highmark unveils bundled-payment model for cancer care

Following in the footsteps of other major insurers, Highmark will debut a bundled-payment initiative aimed at paying for value in cancer care, according to the  Pittsburgh Post-Gazette.

Hearing hashes out pros, cons of Medicare Advantage's growing role

At a congressional hearing about ensuring the fiscal stability of the Medicare program, experts and lawmakers discussed the role Medicare Advantage plans have played in altering how Medicare operates--and what role they should play in the future.

House v. Burwell ruling could wreak havoc on ACA marketplace

A lawsuit brought by the House of Representatives that challenges the financing of the Affordable Care Act's cost-sharing reductions could put 7 million Americans' subsidies in jeopardy and therefore risk destabilizing the entire ACA marketplace, according to a report from The Commonwealth Fund.  

As remaining CO-OPs struggle with enrollment, Maryland's start-up flourishes

As consumer owned and operated plans (CO-OPs) around the country struggled to remain profitable amid lukewarm enrollment numbers, Maryland's CO-OP has emerged as rare beacon of stability, according to  Healthcare Dive.  

Leavitt warns: Value-based payments are coming like a freight train

CHICAGO-- Healthcare leaders should not ignore signals about the federal government's accelerated move toward value-based payments, Michael Leavitt, former secretary of the Department of Health and Human Services, told an audience at the ACHE 2016 Congress Tuesday.

Humana bases executive pay on member health outcome measures

Amid the industry's shift to performance-based provider payments, one health insurer is taking the trend a step further by tying executive bonuses to members' health outcomes.  

At AHIP policy conference, leaders talk new payment models, drug prices

During America's Health Insurance Plans' National Health Policy Conference, AHIP President and CEO Marilyn Tavenner said the private sector is taking the lead in the effort to provide better value in the healthcare system. 

AAFP to provide resources to get physicians ready for new MACRA payment system

The American Academy of Family Physicians is stepping up to the plate to help prepare family physicians for changes in the Medicare payment system that are on the way with the Medicare Access and CHIP Reauthorization Act, according to  AAFP News.

Medicare sees slow adoption of chronic care management code

In January 2015, Medicare put a new billing code into use to reimburse practices for provision of care to patients with multiple chronic conditions. The chronic care management billing code marks a continuing shift toward reimbursement for services that do not necessarily require an office visit, but the medical community has been slow to adopt its use, according to an article in the  Journal of the American Medical Association.

Struggling CO-OPs enter a pivotal year amid signs of potential growth

Although nearly half of Affordable Care Act consumer operated and oriented plans shut down, and many reported multi-million losses last year, officials say 2016 could be a rebound year for the frequently maligned plans, according to the  Associated Press.