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- The Missed Opportunity For US Health Insurers
- At present, most health care payers convert less than 10 percent of the customers who move to a new product class. There's substantial room for improvement. US health care insurers are missing an opportunity to capture low-hanging fruit: better retention of members making the transition between major product classes. Successful...
- White papers 2008-11-01
Additional Resources
- First the bad news--then the good: 2006 rates cut, but some policies improved.(Medicare Fee Schedule)
- Reductions in Medicare reimbursement outlined in the 2006 Medicare Physician Fee Schedule MPFS--which Congress could remedy in its budget reconciliation bill--will reach 4.4% next year and, left unchanged, will mean a 26% overall reimbursement cut over the next six years. The Centers for Medicare and Medicaid...
- Research articles 2005-12-27
- CONVERSION EASES FINANCIAL WOES: PUBLIC FACILITY IS IN THE BLACK AFTER CONVERTING TO PRIVATE OPERATION, ESCAPING BUREAUCRACY.(Sumter Regional Hospital, Americus, GA)
- Americus, Ga.-based Sumter Regional Hospital-owned by Sumter County and the town of Americus-has struggled financially for most of its 46 years. The 221-bed public hospital serves a mostly rural and impoverished population of 120,000 in southwestern Georgia. More than 30% of the ...
- Research articles 1999-07-19
- Missed Opportunity for US Health Insurers
- At present, most health care payers convert less than 10 percent of the customers who move to a new product class. There's substantial room for improvement. US health care insurers are missing an opportunity to capture low-hanging fruit: better retention of members making the transition...
- Articles 2008-12-12
- A Case Study of Six Critical Access Hospitals
- More than 750 small rural hospitals have been certified as Critical Access Hospitals CAHs since the inception of the Medicare Rural Hospital Flexibility Program in 1997 under the Balanced Budget Act. Despite rapid growth in the number of CAHs and the advantages of cost-based reimbursement and lower staffing requirements, CAH...
- Case studies
- Health Net to Advance Product and Process Enhancements in Health Net One Systems Consolidation Effort
- LOS ANGELES -- Health Net, Inc. (NYSE:HNT) today announced modifications to the schedule for its Health Net One systems consolidation project. The company is advancing product and process enhancements ahead of a claims conversion to help it achieve business goals such as increased commercial sales, improved medical management and support...
- Research articles 2005-05-31
- Massachusetts Bites Off More Than It Can Chew
- Once again, Massachusetts is pointing the way toward a possible model for national healthcare reformâ€"but one that most healthcare providers would have a hard time swallowing. To reduce costs that are rising at 8 percent annually, a state commission will soon recommend that insurance companies pay hospitals and physicians a...
- Blog posts 2009-05-10
- Out in the open; Long-secret whistleblower suit could harm Premera's attempt to go for-profit.(The Week in Healthcare)(Premera Blue Cross's whistleblower lawsuit could hinder its plans to go for-profit)
- Byline: Laura B. Benko In what may be the latest in a growing litany of conversion woes for Blues plans, the existence of a long-secret whistleblower lawsuit against Premera Blue Cross has been made public-potentially throwing a crimp into the Mountlake Terrace, Wash.-based insurer's...
- Research articles 2003-08-18
- Why Doctors Aren't Embracing Electronic Medical Records
- In comments to an earlier item about Aetna's "personal health record," Merrill Goozner of GoozNews asked an excellent question: "[W]hy is there so much physician opposition to EMRs?" EMR, of course, is shorthand for "electronic medical records," a main focus of the incoming Obama administration's supposed $50 billion healthcare IT...
- News items 2009-08-07
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