Thought leadership on the use of innovation to solve health care access, quality, and funding issues.
From the category archives:
Tarrytown, NY — November 5, 2010…Although many health insurers offer pay for performance (P4P) bonuses to reward doctors for quality care, policy experts continue to debate how to design and implement these programs. But now researchers have singled out a P4P program, designed by Hudson Health Plan, for its effectiveness. The program, which rewards pediatricians [...]
{ 0 comments }
DENVER, Oct. 22 /PRNewswire/ — Vanguard Communications, the company offering MedMarketLink – an integrated suite of marketing and technology services for specialty medical practices – announced today a partnership with Intuit Health to provide Internet-based portals for health care consumers to go to doctors’ websites and directly request appointments, fill out new-patient forms, pay bills, [...]
{ 0 comments }
Averde Health continues their rapid expansion across Florida with the addition of University of Florida Physicians and Shands HealthCare in Jacksonville and Gainesville to its provider network. UF Physicians includes more than 80 physician practices located throughout north central and northeast Florida staffed by UF faculty physicians. The Shands HealthCare system is comprised of two [...]
{ 0 comments }
BlueCross BlueShield of South Carolina and the Palmetto Health Family Medicine Center/University of South Carolina School of Medicine Department of Family and Preventive Medicine will begin a project on July 1 that features a new payment model to reward improved health outcomes and coordinated care within the complexities of our health care system. The payment [...]
{ 0 comments }
In tandem with athenahealth, Humana offers solutions such as real-time adjudication, which enables health-plan members to have a claim processed instantly before leaving the doctor’s office.
{ 0 comments }
Health Alliance Medical Plans, a provider-sponsored health insurer in the Midwest, has licensed Thomson Reuters Treatment Cost Calculator, an application that tells health plan members how much they will pay out-of-pocket for upcoming healthcare services. The Treatment Cost Calculator generates cost estimates based on a health plan’s claims data at the provider level, so the [...]
{ 0 comments }
Increasingly common insurance plans that encourage patients to receive care from physicians who keep medical costs lower are based on unreliable estimates of doctor performance and may not achieve the intended savings, according to a new RAND Corporation study.
{ 0 comments }
Unlike an EHR or EMR, which captures a patient’s medical record at just one hospital or medical practice, TriZetto’s PHR captures the patient’s record of care from all the providers that file claims.
{ 0 comments }
The initiative, which will simplify information flow between health plans and doctors’ offices, and between health plans and hospitals, is comparable to what ATMs did for banks and consumers.
{ 0 comments }
The primary conclusion reached from the research is that healthcare pricing transparency is not possible under the current practices and pricing policies of most hospitals and some ASCs.
{ 0 comments }
Unknown Feed