The new draft regulations designed to change how Medicare pays clinicians represent the most sweeping overhaul the CMS has made in a long time to the business of running a physician practice.
The volume of measures that exist, promulgated by lack of alignment and poor coordination, has created an environment of measure madness, “consuming precious resources that could be directed toward meaningful efforts to continuously enhance quality and patient safety,” according to a...
Last fall, Karen Ignagni took over as CEO of EmblemHealth—a financially troubled New York insurer with 3.2 million covered lives—after 22 years at the helm of America's Health Insurance Plans. She recently discussed the challenges she faces in her new position.
Banner Health's operating surplus dropped by more than half in 2015 as the Phoenix-based system struggled to integrate its University of Arizona Health Network acquisition.
HHS' Substance Abuse and Mental Health Services Administration is about to begin reviewing comments on its proposed changes that would make it easier to share information about patients in federally funded alcohol or drug abuse treatment programs.
The term “shared savings” usually brings to mind the CMS' accountable care programs and the shared rewards for hospitals that save money over the benchmark costs of care. But a select number of technology companies are bringing the concept of shared rewards directly to consumers,...
Major healthcare systems are generally praising the CMS' attempts to make Medicare's biggest accountable care program more attractive as the agency strives to grow the number of participants while also persuading more of them to assume greater financial risk.
The term “shared savings” usually brings to mind the CMS' accountable care programs and the shared rewards for hospitals that save money over the benchmark costs of care, but a select number of technology companies are taking the concept of shared rewards directly to consumers.
In celebration of Modern Healthcare's 40th anniversary, we have created a list of the 40 most important healthcare milestones of the past 40 years, as chosen by our readers. Find out what events and breakthroughs made our Top 40.
Loyalty programs are by no means widespread in healthcare, and some policy experts say more providers should try them.
Crystal Run Healthcare, a fast-growing, multispecialty physician practice in upstate New York, recently launched an insurance arm and has partnered with Mount Sinai in New York City to bring its patient-friendly focus into Manhattan. CEO Hal Teitelbaum discusses the group's strategy.
Universal American, the Medicare managed-care company that quickly moved into Medicare accountable care, continues to scale back its participation in ACOs, but has grown more aggressive with remaining accountable care efforts.