ASC Coding, Billing & Collections

A group of private investors are going to acquire and convert Baltimore-based Evergreen Health and convert it into a for-profit insurance company, the Baltimore Sun reports.

The fourth-largest insurer in the state of Kentucky, Baptist Health, is pulling out of the ACA, SFGate reports.

The employees of Jacksonville, Fla.-based health systems Baptist Health and St. Vincent HealthCare will soon have a value-based care insurance option available to them through a partnership with Aetna, Nasdaq reports.

The Centers for Medicare and Medicaid Services awarded the Virginia Cardiac Services Quality Initiative and the American Psychological Association grants to help the organizations adopt and promote value-based care practices.

While the Affordable Care Act has provided millions of Americans coverage, The New York Times reports the health law will need to change to survive the tumultuous healthcare environment.  

Reports about insurance commissioners meeting with leading payers have sparked a discussion about the nature of this relationship and whether it influences policy decisions, according to The Washington Post.

The CDC found the national uninsured rate to be 8.6 percent. Wallethub compared the uninsured rates for 548 U.S. cities in addition to the rates for all 50 states.

Healthcare is a labor-intensive industry. And for many providers, payroll expenses can really add up. According to a 2014 Becker’s Hospital Review survey, more than half of the chief financial officers surveyed said personnel costs posed the biggest operational challenge…

Total joints are making their way into the outpatient setting, and ambulatory surgery centers are continually seeking strategies to negotiate reimbursement from payers. CMS, which sets the gold standard for commercial payers, only approves unicompartmental knee replacement for the ambulatory…

UnitedHealthcare is pulling out of another ACA marketplace; this time in Kansas, KVOE reports.