Quality Improvement & Outcomes

Latest Headlines

Latest Headlines

What payers learned during first open enrollment

Now that the dust has settled a bit, how did insurers handle the first open enrollment and how are they responding to new health insurance exchange enrollees?

Lack of insurance ups risk of emergency surgery

People without insurance are more likely to need emergency surgery on their aorta and are more likely to die or have complications after the surgery, concludes a study from Duke University Medical Center.

More hospitals provide self-insurance plans

Many hospitals are adopting self-insurance plans, hoping to offer competitive pricing to small business owners, reports Fox Business. By creating personal insurance products, hospitals can offset the costs of rising premiums.

Medicare Part D linked to fewer hospital visits, lower costs

Prescription drug insurance for seniors will reduce the use of and spending on nonpharmacy medical services, researchers at the University of Illinois and the Johns Hopkins University found when comparing national records from before and after Medicare Part D kicked in 2006.

Price transparency should start with insurers

Insurers, providers and some of their lobbying groups have issued new recommendations that give payers a leading role in advancing price transparency in healthcare.

Medicare Advantage payment changes stir anger

The Centers for Medicare and Medicaid Services' recent reversal of proposed payment cuts to Medicare Advantage plans has yet to gain a ton of supporters, reports The Washington Post.

Census survey changes may hide reform law effects

The Census Bureau plans to change its annual survey so drastically that it may be difficult to determine the effectiveness of the Affordable Care Act, reports the New York Times.

Obesity coverage could cut chronic condition costs

More than nine months since the American Medical Association declared obesity a disease, federal law still forbids Medicare from covering obesity medications. But coverage of obesity under Medicare and other insurance plans could slow the rate of chronic diseases and reduce the long-term costs of obesity-related chronic conditions.

Seasonal employees may lose coverage

Thousands of variable-hour employees--workers whose hours change on a weekly or seasonal basis--could soon lose their healthcare benefits, reports the Wall Street Journal.

Va. Medicaid expansion draws insurer support

In Virginia, the debate regarding Medicaid expansion continues, reports the Associated Press. If the state decides to expand Medicaid to about 400,000 low-income residents, those eligible will have private insurance paid for with federal funds.