Payer Systems

Balancing Hospital Revenue with Value-Based Care Goals
Management & Administration Balancing Hospital Revenue with Value-Based Care Goals

The healthcare industry stands at a crucial turning point, where the traditional dependence on fee-for-service (FFS) models clashes with the growing emphasis on value-based care (VBC) principles, creating a complex challenge for hospitals. As key components of the system, hospitals grapple with a

Kansas Hospitals Sue Over Small Medical Bills, Impacting Many
Management & Administration Kansas Hospitals Sue Over Small Medical Bills, Impacting Many

In the quiet towns of rural Kansas, a deeply unsettling pattern has taken root, where hospitals are increasingly turning to lawsuits against patients for unpaid medical bills, some as low as $104, leaving families grappling with both financial hardship and emotional distress. This growing practice

States Brace for Medicaid Home Care Cuts Under H.R. 1 Law
Management & Administration States Brace for Medicaid Home Care Cuts Under H.R. 1 Law

As the reconciliation law known as H.R. 1 casts a long shadow over the landscape of healthcare funding, states across the U.S. are confronting an unprecedented challenge in sustaining Medicaid programs for home care services. These services, often referred to as home- and community-based services

Lagos Boosts Healthcare with N400 Billion Insurance Plan
Management & Administration Lagos Boosts Healthcare with N400 Billion Insurance Plan

In a groundbreaking move to transform the state’s struggling healthcare system, Lagos has unveiled an ambitious plan to generate over N400 billion annually through an expanded compulsory health insurance scheme, targeting the enrollment of 20 million residents. This initiative, driven by a pressing

How Are Humana and Epic Revolutionizing Patient Check-Ins?
Management & Administration How Are Humana and Epic Revolutionizing Patient Check-Ins?

Imagine walking into a doctor’s office, dreading the inevitable stack of paperwork and the awkward fumble for an insurance card, only to find that the entire process has been transformed into a seamless, digital experience thanks to a groundbreaking collaboration. This is no longer a distant dream

How Can Connecticut Solve Its Healthcare Affordability Crisis?
Management & Administration How Can Connecticut Solve Its Healthcare Affordability Crisis?

In Connecticut, the escalating cost of healthcare has become a daunting barrier for many residents, with nearly two-thirds of adults admitting to delaying or skipping necessary medical care due to financial constraints, according to recent data from Healthcare Value Hub. This alarming trend not

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