Insurance, Health, Reimbursement - Trends
Research News and Information

Sunday, November 22, 2009

Managing medical necessity and notification denials.

30 Jul 2009 Hospitals should take a strategic approach to denials management. Some key areas to monitor are: Prior authorization/notification. Concurrent review. The appeals ... Read more...

Paying for obesity: a changing landscape.

30 May 2009 BACKGROUND: Coverage for obesity related services is highly variable. Despite this, health plans, purchasers, and states have mounted numerous recent initiatives. OBJECTIVE: To identify the range of approaches being used to address coverage and ... Read more...

Applying evidence-based imaging to policy: the Washington State experience.

29 Apr 2009 In response to escalating medical costs and a lack of evidence supporting some medical procedures, the state of Washington initiated a new program to use evidence-based medicine to determine if medical technologies should be covered for ... Read more...

Latest indexed articles for 'Insurance, Health, Reimbursement - Trends'

These are the very latest articles for this heading:

• How did we lose it--and can we ever get it back? 30 Aug 2009
• Managing medical necessity and notification denials. 30 Jul 2009
• Paying for obesity: a changing landscape. 30 May 2009
• What's the good news in reimbursement? 29 Apr 2009
• Significant payment decreases to freestanding cancer centers that provide high-dose-rate brachytherapy. 29 Apr 2009
• Applying evidence-based imaging to policy: the Washington State experience. 29 Apr 2009
• The continuing cost of privatization: extra payments to Medicare Advantage plans jump to $11.4 billion in 2009. 29 Apr 2009
• Possible effects of the new Medicare reimbursement policy on African Americans with ESRD. 21 Apr 2009
• European pharmaceutical pricing and reimbursement conference. 30 Jan 2009
• Medicare financial status, budget impact, and sustainability--which concept is which? 30 Dec 2008
• Availability of renal replacement therapy in Central and Eastern Europe. 30 Dec 2008
• Do reimbursement delays discourage Medicaid participation by physicians? 16 Nov 2008
• A bleak future for independent community pharmacy under Medicare Part D. 30 Oct 2008
• The devil is in the details: maximizing revenue for daily trauma care. 29 Sep 2008
• Another yearly epidemic. 30 Aug 2008
• A study on the economic impact of bariatric surgery. 30 Aug 2008
• Diffusion of interferon beta in Iran and its utilization in Tehran. 30 Aug 2008
• National trends in psychotherapy by office-based psychiatrists. 30 Jul 2008
• The precarious state of Medicaid. 29 Jun 2008
• Once again, it's decision time for DC lawmakers. 29 Jun 2008

See a longer list of these articles.

Technical information about 'Insurance, Health, Reimbursement'

Definition: Payment by a third-party payer in a sum equal to the amount expended by a health care provider or facility for health services rendered to an insured or program beneficiary. (From Facts on File Dictionary of Health Care Management, 1988)

Descriptor UI: D007349

Alternative terms: Insurance, Health, Reimbursement; Reimbursement, Health Insurance; Third-Party Payments; Payment, Third-Party; Payments, Third-Party; Third Party Payments; Third-Party Payment; Health Insurance Reimbursement; Health Insurance Reimbursements; Insurance Reimbursement, Health; Insurance Reimbursements, Health; Reimbursements, Health Insurance; Third-Party Payers; Payer, Third-Party; Payers, Third-Party; Third Party Payers; Third-Party Payer;

Allowable Qualifiers: classification; economics; history; legislation & jurisprudence; standards; trends; utilization; statistics & numerical data; ethics;

Tree Number: N03.219.521.576.343.480; N03.219.521.710;

History Note: 82 (Aug 77); was see under INSURANCE, HEALTH Aug 77-81

Technical Notes: specify geog if possible