When the Centers for Medicare & Medicaid Services announced the 2014 pay rates for physicians last week, the agency touted a final rule reflecting a shift to a greater emphasis on high-quality care and efficiency. Physician groups were unimpressed, instead keeping their focus on the sustainable growth rate (SGR) that the fee schedule maintains.
Physicians across a number of specialties are taking the lead to test developing new payment and delivery models. But they need more support from commercial and public payers to make them more widely adopted.
Robert Laszewski, Health Care Policy and Marketplace Review
From 27,000 enrollments in October to a reported 100,000 enrollments in November, the Affordable Care Act's website is apparently working better and getting more people signed up.
But is it fixed well enough to handle the expected wave of at least many hundreds of thousands of people eager to get guarantee issue health insurance for the first time or replace a canceled policy by January 1?
As a primer discussion for the 2013 mHealth Summit, mHealth News (@mhealth_news) is hosting a Twitter Chat to discuss the future of mHealth and its role in shaping global health. Taking place at 1 p.m. ET Monday, December 2, the chat will use the hashtag #mHealth13 (the official hashtag for the summit). You can also participate in the chat through the #mHealth13 chat room.
President Obama acknowledges the technical issues with HealthCare.gov, pledging his Administration will resolve them soon and asserting that the distressed web portal is not the only way to shop for affordable health insurance available through the ACA.
Self-funded employers with stop-loss coverage can breathe a sigh of relief now that the Internal Revenue Service finalized rules for new health insurance fees, but nonprofit HMOs banking on an exemption will have to pay up.
Dorathy Senay's doctor had some bad news after her last checkup, but it wasn't about her amyloidosis. Her Medicare Advantage managed care plan from UnitedHealthcare/AARP is terminating the doctor's contract Feb. 1.
Medicare contractors overpaid a number of providers for a breast cancer drug, reimbursing for full vials rather than the administered dose — a problem federal auditors think could plague other multi-use drugs in Medicare.
Authorized by the Affordable Care Act, and starting in 2014, individuals and employees of small businesses will have access to affordable coverage through a new competitive private health insurance market -- the Health Insurance Marketplace (formerly known as Healthcare Insurance Exchanges). The state-based marketplace will provide individuals and small businesses with a "one-stop shop" to find and compare affordable, quality private health insurance options.