Financial Management

Latest Headlines

Latest Headlines

Price transparency leads to lower claims costs, research finds

When consumers have access to pricing information before they obtain medical services, insurers' claims payments are lower, according to new research published in the Journal of the American Medical Association.

MGMA awards offer lessons on winning big, even outside of Vegas

This week, the Medical Group Management Association (MGMA) recognized several of its members for excellence in medical practice management with a series of awards. The recipients' achievements...

Good news: Healthcare spending slowing down, may help GDP

Over the years, healthcare spending has taken up a large portion of the U.S. economy's gross domestic product. Additionally, the U.S.'s proportion of GDP spent on healthcare continues to rise faster than any other developed nation.  Yet there is a silver lining: Healthcare spending is slowing down.

ACA's long-term impact on malpractice rates unknown

Medical malprac tice  premiums in several specialties have declined slightly or stayed flat over the past year, according to  Medical Liability Monitor 's annual rate su rvey. Overall, 65 percent of liability insurance rates remained steady nationwide, with obstetrician/gynecologists, internists and general surgeons experiencing decreases for the seventh straight year, reported   Medscape Medical News.

Is a trial merger a smart step?

Medical practice insiders often compare a group merger to a marriage--meaning it takes compatibility, trust, communication and work to succeed. Two practices in the Louisville, Kentucky area are pretty sure they have what it takes, but will take the unusual step of actually "living together" before making their union official, according to an artic le  from  Louisville Business First.

Insurers lose $73M in Kansas in 6 months thanks to Medicaid

Medicaid expansion under the Affordable Care Act has been an overall success for insurers in most states that have implemented it; however, the story is different in Kansas, which switched its entire Medicaid program to a private model.

Wal-Mart scales back health insurance benefits

Wal-Mart Stores, Inc., the nation's largest private employer, announced yesterday that it will stop offering health insurance coverage in January to about 30,000 part-time employees who work fewer than 30 hours a week, the  New York Times  reported.  

Study: Payment models that curb costs may thwart coverage of new medical technologies

A new study by the Analysis Group examined the relationship between insurers' adoption of provider payment models to curb costs and approval of coverage for new items and services made possible by advances in medical technology.

The future of the health insurance industry

The future of the health insurance industry is, in many ways, a mystery. Insurers won't cease to exist, but they'll likely be providing health insurance in a different way than they do now,  wri tes  Wendell Potter, a senior analyst at The Center for Public Integrity.

Holes in the argument for reference pricing

Reference pricing has been touted as a way to create provider competition in healthcare, but a recent Federal Trade Commission article argued this isn't the case.