The Centers for Medicare and Medicaid Services has released the Medicare Advantage and Part D star ratings for 2021. The 21 health plans earning 5 stars include KelseyCare Advantage, Kaiser Permanente ...

As major health insurers battle steep losses on the exchange market, UnitedHealth has leveraged its ace in the hole to stay out of the red: Optum. And its success creates an important lesson for other ...

Missed and open appointments cost the healthcare industry $150 billion annually, according to a new vendor report that recommends automating the process. Providers have no-show rates between five and ...

Thirty-one percent of inpatient claims submitted to commercial payers weren't paid for more than three months, data shows. Jeff Lagasse, Editor A complete guide to lease accounting for healthcare ...

SCAN Health Plan has won its lawsuit against the Department of Health and Human Services over the way the government calculated Medicare Advantage Star Ratings for 2024. The ruling means SCAN will get ...

The acquisition of private physician practices across the U.S. accelerated after the onset of the pandemic. A complete guide to lease accounting for healthcare organizations Making a successful ...

Prior authorization continues to be the area with the lowest adoption rate, with only 21% of medical plans having fully electronic transactions. Healthcare lease accounting insights: How two ...

Stripped out of the final bill is a provision to prevent the 2.8% Medicare pay cut to physicians. Susan Morse, Executive Editor ...

A complete guide to lease accounting for healthcare organizations Making a successful transition to the latest lease accounting requirements such as ASC 842, IFRS 16 or GASB 87 can be a complicated ...

In a newly proposed rule, the Centers for Medicare and Medicaid Services is changing prior authorization standards to speed up the time it takes for payers to approve the requests and is implementing ...

Healthcare lease accounting insights: How two organizations got compliant and stay audit-ready all year long Healthcare organizations (HCOs) often hold multiple leases such as those for real estate, ...

What's in a brand? A lot, as it turns out, and the importance of branding is only growing in the healthcare space, particularly in an era defined by consumerism and choice. It's a new world for many ...