Topic:

Operations & Business Management

Latest Headlines

Latest Headlines

Judy Faulkner: Criticism that Epic system stymies interoperability 'unfair'

Responding to criticisms that Epic's electronic health record systems are closed and, thus, difficult to integrate with third-party vendors, CEO Judy Faulkner, in a rare  interview  granted to  Forbes , called such accusations "totally wrong."

Medicare Advantage poised for strong membership growth

Medicare Advantage enrollment might increase by as much as 50 percent in the next 10 years, according to the latest budget analysis.

AHIP funded small business's campaign against premium tax

America's Health Insurance Plans funded hundreds of thousands of dollars to a popular small-business trade association to help repeal the reform law's premium tax on insurers, the National Journal Daily reported.

States' exchange outreach, education budgets differ greatly

Insurers should keep a watchful eye on their states' financial expenditures, as this may be the best indicator of whether they will enroll large amounts of new consumers shopping on the health insurance exchanges.

Premiums drop, coverage expands in Washington's exchange

Despite predictions of rate shocks, most consumers in Washington state will actually see lower premiums and enhanced coverage when they buy insurance through the state's health insurance exchange.

No Medicaid expansion till 2015 for Pennsylvania, top official says

As Pennsylvania lawmakers consider whether to expand their Medicaid program under the reform law, a top state official said even if Gov. Tom Corbett approves, it would take until at least January 2015 to negotiate and implement the expansion.

State wants pre-existing condition plan left alone

Pennsylvania Insurance Commissioner Michael Consedine has asked the U.S. Department of Health & Human Services to leave in place the federal program for people with serious health problems, LifeHealthPro reported.

With or without Medicaid expansion, healthcare access at risk

Safety-net facilities in opt-out states must find ways to offset the decision to go without federal Medicaid funding and additional insured patients who could pay their bills. For many safety nets, that could mean eliminating services for uninsured patients or hospital workers, Bloomberg reported.

Feds continue to crack down on healthcare fraud

The United States charged 89 people in eight cities yesterday with healthcare fraud that involved $223 million in fraudulent claims, but the U.S. Department of Justice warned budget cuts due to the sequestration may limit future anti-fraud efforts.

Physician satisfaction: Adapt to the system or break free?

With new challenges seemingly at every turn, it's easy to get caught up in lamenting problems. But if you look at most situations a different way, you can usually just as many potential...