Care Coordination

Humana will now reimburse hospitals based on quality improvement and performance metrics under a new program it revealed April 25.

  Environmental Protection Agency Administrator Scott Pruitt proposed a rule April 24 limiting the types of scientific research the EPA may use in crafting agency regulations, according to The Washington Post.

Bill Gates, co-founder of Microsoft and co-chair of the Bill & Melinda Gates Foundation, argued gene editing will improve global health within the next decade.

BlueCross BlueShield of Texas may begin requiring some members who access nonemergent care at out-of-network emergency departments to pay their bills in full.

Atlanta-based Piedmont Healthcare and Anthem Blue Cross Blue Shield of Georgia signed a three-year contract April 20, three days after announcing a handshake agreement.

Seattle-based UW Medicine will simultaneously close the inpatient psychiatric unit at University of Washington Medical Center and open a new 12-bed voluntary psychiatric inpatient unit at Northwest Hospital and Medical Center.

Persistence is key for health systems negotiating out-of-network payments. Collect Rx is the only company in the nation devoted to negotiating out-of-network bills for healthcare providers.

A bipartisan group of lawmakers urged CMS Administrator Seema Verma to allow ACOs to do a third three-year stint in Track 1 of the Medicare Shared Savings Program.

Where other sectors have already benefited from dramatic technological overhaul, healthcare has historically lagged behind.

One of the greatest joys in my nursing career has been the collaborative relationship with physicians.