by Keith Kuhn | May 25, 2013 | Government, Payor
Covered California, the state agency implementing the Affordable Care Act (ACA), has announced participating health insurers and proposed premiums for the state’s exchange, which is expected to provide health insurance coverage to roughly 5 million Californians...
by Keith Kuhn | May 24, 2013 | Government, Regulations, Reimbursement
The Centers for Medicare & Medicaid Services has revised the provider certification manual for hospitals, giving more in-depth guidelines around discharge planning. The goal is for hospitals to reduce readmissions by partnering with post-acute providers. The...
by Keith Kuhn | May 24, 2013 | Government, Payor, Regulations, Reimbursement
Anybody who is paying any attention to the Medicare competitive bidding program understands that the program is fatally flawed. We all know that just about every qualified expert in the field of auction design has agreed that the program breaks just about every rule...
by Keith Kuhn | May 23, 2013 | Payor
Kaiser Permanente, Anthem Blue Cross and Blue Shield of California are all expected to participate in the state-run market for individual health coverage. Some prominent health insurers, including industry giant UnitedHealth Group Inc., are not participating in...
by Keith Kuhn | May 23, 2013 | Payor
Five Highmark customers claim the insurance giant and 37 other Blue Cross Blue Shield affiliates are violating federal antitrust laws and conspiring to drive up premiums by squelching competition in Western Pennsylvania and elsewhere. Their federal lawsuit filed...
