Data scan

Evans, Melanie
September 2011
Modern Healthcare;9/26/2011, Vol. 41 Issue 39, p6
Trade Publication
The article focuses on the establishment of the nonprofit organization Health Care Cost Institute which aims to examine data on what causes the rise of health care costs in the U.S. Four private health insurers have agreed to provide data on the price and use of medical care that was only available through companies that sell data or by request. One of the factors that warrant such data is the case of McAllen, Texas where health care cost is high per enrollee.


Related Articles

  • Medicare Payment Policy: Does Cost Shifting Matter? Lee, Jason S.; Berenson, Robert A.; Mayes, Rick; Gauthier, Anne K. // Health Affairs;Jul/Aug2003 Supplement, pW3-480 

    We examine cost shifting within the context of Medicare payment policy. We briefly review economic theory and available data and discuss the importance of cost shifting for policy. Then we present four central findings on cost shifting based on the views of former high-level policymakers. First,...

  • Fact vs. CMS Fiction. Wilson, Tyler // HomeCare Magazine;Jun2011, Vol. 34 Issue 6, p44 

    The article presents the truth and myth about competitive bidding program in Medicare in the U.S. It states that first myth claims that Medicare overpays for home medical equipment and services, but the reality is the cost of delivering and maintaining medical required equipment in the home are...

  • Incorporate New ABN To Collect For Non-Covered Services Going Forward.  // Health Information Compliance Alert;Jan2012, Vol. 12 Issue 1, p1 

    The article presents an overview of incorporating new advanced beneficiary notice (ABN) in collecting non-covered medical services in the U.S. It notes that the mandatory use of the new version will take effect on November 1, 2 011. The importance of ABNs in helping patients to decide whether...

  • INDUSTRY PERSPECTIVES. HOSPITAL CARE: ARE WE GETTING WHAT WE PAY FOR? Miyasato, Gavin // For the Record (Great Valley Publishing Company, Inc.);Dec2015, Vol. 27 Issue 12, p5 

    The article examines the alignment of hospital charges to quality of care, based on charge data and quality data from the Hospital Value-Based Purchasing (HVBP) program quality scores of the U.S. Centers for Medicare & Medicaid Services (CMS). Topics discussed include lack of association between...

  • Afraid You're Not Getting Paid On Time? Check Out Your State's Prompt Pay Laws.  // Family Practice Coding Alert;May2011, Vol. 13 Issue 5, pp28 

    The article reports on the payment laws in medicare contractors in the U.S. It notes that medicare contractors must pay clean claims within 30 days. It mentions that each state is required to let private insurers pay all clean claims within a certain time frame. It cites that if the insurers...

  • Anthem-Cigna merger poses promise, perils for providers and consumers. Herman, Bob // Modern Healthcare;7/27/2015, Vol. 45 Issue 30, p0007 

    The article focuses on the merging of the health insurers Anthem and Cigna Corp. and concerns related to the same. Topics discussed include expansion of government business as the aim of the merging, aims of expanding the business in Medicare Advantage market, fear of policy makers and...

  • Gain-sharing could make gains. Rhea, Shawn // Modern Healthcare;7/7/2008, Vol. 38 Issue 27, p10 

    The article reports on the U.S. Centers for Medicare and Medicaid Services' (CMS) newly proposed rules for gain-sharing and other pay-for-performance initiatives. The proposed rules are part of 2009 physician-payment policies that the CMS is seeking comment on from healthcare providers and...

  • Health Insurers and Medical-Imaging Policy � A Work in Progress. Iglehart, John K. // New England Journal of Medicine;3/5/2009, Vol. 360 Issue 10, p1030 

    The article presents an overview of changes which have been seen in the medical imaging policies of the U.S. government and many health insurers in the United States including Medicare. A discussion of advancements which have been seen in the field of advanced imaging technology and of the costs...

  • Lifestyle Medicine: An Overview. Dysinger, Wayne S.; Carls, Clara L. // Primary Care Reports;May2010, Vol. 16 Issue 5, p45 

    • The majority of our health care resources are devoted to surgery and medications rather than preventive medicine. • The U.S. overall cost of unhealthy lifestyle has been estimated to reach $100-150 billion annually. • The consensus conference on lifestyle medicine has...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics