Thursday, January 9, 2025
The COVID-19 pandemic caused many changes in our society and the policies. U.S. healthcare system had to adapt to the new reality by restructuring several aspects of its operation, including the nation’s most crucial health privacy law, the Health Insurance Portability and Accountability Act (HIPAA). HIPAA was designed back in 1996 to improve the nation’s
[ Read More ]In a pre-pandemic world, providers and payers were proceeding with their usual pace toward value-based reimbursements. With a steadily-growing patient volume and broad health insurance coverage options, providers had the option of implementing value-based payment models with any number of insurance companies. Over time, providers began to explore the benefits of integration and in some
[ Read More ]Why did Americans work up for bringing health care reform? Statements like “Don’t touch my Medicare” indicate a poor understanding of America’s healthcare reform history. America is facing new challenges about medical care reform, and this system crisis has been reached to a dangerous level. Let’s take a look at how the healthcare system started
[ Read More ]When you attended the med school you probably weren’t thinking about how you could get new patients. Humans get sick and go to the doctor, and all you were worried about was how to treat them in the best way possible. But the truth is, competition for patients is tight. When people are new to
[ Read More ]Having a healthcare provider that you can trust is one of the most important relationships that a person should ever develop in their lifetime. After all, these professionals are in charge of a person’s health. When you’re not well versed about medicine and healthcare, in particular, you’ve got nothing else to do but to really
[ Read More ]Transitioning and succeeding in value-based care (VBC) is increasingly becoming the focus of many providers. Despite initial reservations, many providers are becoming ardent supporters of VBC payment models and are often the catalysts for change in their organizations. Traditionally, most providers were compensated under fee-for-service (FFS) arrangements (i.e., they were paid for services rendered, not
[ Read More ]It is challenging to choose the right doctor, especially now that there are many specialists claiming to be experts. However, you don’t have to worry about how you will find a doctor near me Dubai. The city launched a system to rate hospitals based on their performance; this allows you to choose the best health
[ Read More ]According to the Polsinelli-TrBK Distress Indices Report, 20 hospitals have filed for bankruptcy since 2016. Looking ahead through 2019, medical cost trends remain stable but extremely high as healthcare costs continue to rise. HRI projects 2019’s medical cost trend to be 6%. This is consistent with the last five years, which have seen trends between 5.5% and
[ Read More ]By Lola Koktysh Healthcare has plenty of problems to juggle, and prior authorization (PA) is the one to stay. As if relations within the trio of patients, payers and providers weren’t complex enough to regularly require specific consulting, there’s always a new regulation or requirement to entangle them even more. This time, prior authorization (PA)
[ Read More ]CMS completed the first of three planned reviews of health plan Provider Directory Accuracy and the results were not good. A few stats jump out: Nearly half of provider directory locations listed were inaccurate. (i.e. provider was not at the location listed, phone number was incorrect, or provider was not accepting new patients when the directory indicated
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