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Managed Care
January 2005
Leary & Farley |
Health Plans Slow To Adopt Outpatient Prospective Payment The private sector drags its feet over Ambulatory Payment Classifications. Here are some suggestions to move acceptance along.   |
Searcher
Jul/Aug 2010
Tara Breton |
What's in the Patient's Medical Bill? If you want more understanding of medical billing, here are the basics of the U.S. medical reimbursement system that will hopefully assist you along with web resources on this subject. |
Nursing Management
April 2009
Sharon H. Pappas |
Profits, Payers, and Patients: Responding to Changes Profit is necessary for hospitals to fulfill their missions, invest in expansion and new technologies, and reinvest in existing patient care infrastructures. Profitability is the work of the financial team and the clinical team to produce the hospital's desired financial outcome. |
Managed Care
January 2008
Marcia Naveh |
Lax Coding by Physicians Hurts Medicare Advantage Plans By assisting doctors, insurers can get all the payment that they are due, but that too often is lost. |
Managed Care
January 2008
Peter Kongstvedt |
The Managed Care Forecast Here are some of the challenges that health insurers face this year. |
Information Today
September 20, 2012 |
Access Innovations Announces New Initiative: Access Integrity, Inc. Access Innovations' Data Harmony software suite, Access Integrity employs a natural-language, rule-based taxonomy application -- Medical Claims Compliance -- to search, analyze, and verify electronic medical records. |
Managed Care
April 2007 |
Consumers Upset By High Cost of Administration When it comes to health care administrations, there is a wide gap between what executives of hospitals and insurance companies believe it costs and what consumers believe. |
Managed Care
July 2007
Martin Sipkoff |
Hospitals Asked To Account For Errors on Their Watch Centers for Medicare & Medicaid Services and states may stop paying for specific hospital-acquired conditions. Will health plans follow suit? |
Pharmaceutical Executive
June 1, 2007
Dinh Nguyen |
Clinical Trials Under Scrutiny Over the last few years, there has been a growing number of instances of misconduct in clinical research. |
Managed Care
December 2006
MargaretAnn Cross |
Confronting The Medicare Cost Shift Plans are increasingly concerned about the degree to which providers overcharge them to make up for losses from government programs. |
Managed Care
August 2006
Emad Rizk |
Finding Opportunity Where Business Models Meet The next stage of payer-provider collaboration will add true value. |
Insurance & Technology
May 7, 2010
Anthony O'Donnell |
StoneRiver Adds Billing Offering to Stream Solution Set Core insurance operational solutions vendor StoneRiver has released Billing Stream -- Direct, a component of the vendor's StoneRiver Stream solution set, built on advanced service-oriented architecture with an embedded service bus. |
Inc.
December 2005
Amy Feldman |
Surviving the Squeeze Longer payment periods don't have to be cash-flow killers. These five steps can help you get payments moving smoothly again. |
Entrepreneur
July 2009
Randy B. Hecht |
Pay Me! How to get the money you're owed when no one seems to have any. |
Managed Care
May 2005
Frank Diamond |
Hospitals May See Plans as Their New Confidant Not only can health plans pay for performance, they can offer a mechanism for confidential discussions of mistakes. |
Managed Care
June 2003
Maureen Glabman |
Managed Care Makes It Tough For Some Hospitals To Stay Afloat True, there are other reasons the facilities have closed, but insurers' payment rates stand out. Is it better that some are history? |
Managed Care
September 2007
Martin Sipkoff |
Go Carefully When Measuring Quality Gauging and rewarding good work in health care is a noble goal with potentially negative consequences. |
