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Increased healthcare service utilization and higher program costs resulting from Medicaid expansion are likely temporary and won’t have a disastrous impact on state budgets, according to a study from the UCLA Center for Health Policy Research. UCLA researchers examined claims data from 182,000 people who gained insurance through two of California’s public health insurance programs […]
Read MoreSince June, 65 lawsuits filed under the qui tam, or whistle-blower, provision of the False Claims Act have been unsealed, according to a National Law Review report. Here are five things to know about the unsealed cases. 1. The government declined to intervene in 34 cases, partially intervened in 10 cases and fully intervened in […]
Read More6 steps to transition your organization to a performance-based physician compensation model Since the passage of the Patient Protection and Affordable Care Act in 2010, healthcare reimbursement changes are rapidly evolving from primarily volume-based, fee-for-service reimbursement to value-based, risk-sharing accountable care contracts. As a result, physician compensation models that are primarily volume-based must quickly migrate […]
Read MoreWhen insurers implement bundled payment projects, they’re transforming care by focusing on quality and lowering costs, making it a strong gateway to propel payment reform, according to a report from the Robert Wood Johnson Institute. In fact, the “most attractive element” of a bundled payment pilot is often the opportunity to prepare for “future demands […]
Read MorePutting in place noneconomic damage caps appears to reduce payouts more than not having caps, but when caps increased to $500,000, the effect on payments was neutralized, new research shows. Specifically, any cap trimmed average payments by 15% ($42,980) compared with no cap, and a $250,000 cap reduced average payments by 20% ($59,331), researchers report […]
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