Providers utilize business intelligence to monitor referral patterns and collaborate with clinicians who order their services. Such analytics tools have also been deployed in the specialty to improve productivity, track patient satisfaction and bolster quality.
The Medicare Advantage insurer said the payout is equal to what a CMS audit stated was the total amount the company was overpaid for patient care services. Despite receiving the cash, the agency has yet to officially withdraw its enforcement action, as the two parties are still negotiating.
A report from Trilliant Health looking at payer data found that, as prescriptions for the popular weight loss drugs spike, so rises the number of approved benefits.
State Attorney General James Uthmeier is forcing the company to hand over thousands of documents related to its pharmacy contracts and reimbursement policies to see if the retail giant is abusing its position in the market as both a pharmacy benefit manager and a retail chain of drug stores.
Medaxiom CEO Jerry Blackwell, MD, MBA, FACC, discusses investor's interest in buying cardiology practices, noting that PE ownership remains relatively low.
Looking at the three largest Medicaid managed care plans related to maternal health, the Office of Inspector General found instances of ineligible providers being included in directories, as well as other errors such as incorrect contact information.
Fewer than half of all stroke patients undergo brain imaging within the AHA-recommended, 25-minute window after arriving at the ER, according to a new study in the journal Stroke.
The public-comment period for MU2 entered full swing this week, as both ACR and HIMSS weighed in on proposed rule changes to the federal EHR Incentive Program.
A new report from the Kaiser Family Foundation demonstrates distressing evidence that employment losses—and the subsequent loss of healthcare benefits tied to those jobs—has directly related in a nearly 20 percent increase in the number of Medicaid subscribers.
After months of fireworks from the two goliaths of healthcare in the city of Pittsburgh, the roaring battle has subsided into a fragile, temporary ceasefire that likely will end up punishing subscribers more than any of its principal players.
New VRAD CEO George Morgan sat down with Imagingbiz to discuss his recent appointment to the position, his view of the future of teleradiology, and why it's better to take a public company private.
Toshiba America Medical Systems, Inc. (TAMS) has named Calum Cunningham vice president, Business Operations. In his new role, Cunningham is responsible for Toshiba's business operations, specifically in maintaining customer satisfaction.
Two months after activating all four sites of a study into portable, patient-controlled medical records, a Mt. Sinai researcher is seeing evidence that his model could help drive down imaging costs through an innovative, open-source model.