States and insurers need time, money to cement mental-health parity rules

By Virgil Dickson  |  June 12, 2015

States and major insurance companies say they need more time to implement new rules meant to offer better coverage of mental-health and substance-abuse treatment to those in Medicaid managed-care plans. The implications are huge for a population that struggles to get care, especially for...

CMS to release Medicaid managed-care rule

By Virgil Dickson  |  May 23, 2015

The CMS is about to release a sweeping proposed rule that could fuel a major expansion of Medicaid managed long-term care for elderly and disabled beneficiaries.

Cancer docs back bundled pay

By Sabriya Rice  |  May 21, 2015

A payment reform strategy offering consolidated billing codes and bundled cancer-care payments aims to “fundamentally restructure” the way cancer care is paid for in the U.S.

Dr. Stephen Grubbs heads new ASCO department

Dr. Stephen Grubbs heads new ASCO department

By Modern Healthcare  |  May 02, 2015

Dr. Stephen Grubbs has been named senior director of the new clinical affairs department of the American Society of Clinical Oncology in Alexandria, Va.

Innovations: Online payment portal eases hospital collections

Innovations: Online payment portal eases hospital collections

By Bob Herman  |  April 04, 2015

iVinci's CEO developed the technology after a year managing the revenue-cycle process at St. Luke's Health System in Boise. He told the system's executives they had to understand patients' payment patterns if they wanted to handle the rising tide of high-deductible plans.

Data Points for March 23, 2015

By Modern Healthcare  |  March 21, 2015

Data Points for the week of March 23, 2015, covered the following topics: Out-of-pocket costs for patients, deductibles and medical debt

Doctors require help in move from fee-for-service

By Steven Ross Johnson  |  March 19, 2015

Physicians need support and guidance from the federal government and from payers as they deal with the challenges of transitioning away from fee-for-service, according to a report released Thursday.

Pa. judge will hear challenge to Advantage payment cuts

By Lisa Schencker  |  March 14, 2015

In a lawsuit that will go before a state judge this week, eight not-for-profit hospitals in western Pennsylvania will argue that health insurer Highmark improperly trimmed Medicare Advantage payments by 2% last year following federal budget cuts.

Utah Medicaid expansion hits dead end

By Associated Press  |  February 26, 2015

Utah Gov. Gary Herbert's trimmed-down plan for expanding Medicaid appears to have hit a dead end at the state Capitol.

CMS: Boost Medicare Advantage payments 1.1%

By Bob Herman  |  February 21, 2015

The CMS has proposed increasing health insurers' Medicare Advantage payment rates by 1.05% for 2016, a move that kicks off a 45-day dogfight in Washington before the rates are cemented.

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