AIMHI Intelligence

UnitedHealth hits back at Envision over ER billing practices

By Shelby Livingston March 20, 2018 UnitedHealth Group has shot back at physician staffing firm Envision Healthcare over allegations surrounding emergency room billing, creating a website blaming Envision for patients’ costly emergency room bills. The two companies are locked in a dispute over payment issues. Envision, which has previously landed […]

Atrium Health suspends merger talks with UNC Health Care

By Tara Bannow  | March 2, 2018 Atrium Health and UNC Health Care announced Friday the two systems are suspending merger talks, following vocal criticism from state officials, including North Carolina’s treasurer and attorney general. Charlotte-based Atrium signed a letter of intent to create a joint venture with UNC Health Care in August. […]

Another reason to worry about overcrowded emergency rooms

Lack of privacy affects accurate diagnosis of medical conditions and beyond Thomson Reuters Mar 01, 2018 Patients are more likely to be misdiagnosed or experience treatment delays when emergency rooms are so crowded that they receive care in a hallway, a survey of physicians suggests. Privacy and confidentiality are vital in emergency care, particularly […]

UnitedHealth tightens reins on emergency department reimbursement

By Shelby Livingston  | March 7, 2018 The nation’s largest health insurer, UnitedHealth Group, is following rival Anthem’s footsteps with a new payment policy aimed at reducing its emergency department claims costs. Under the policy, rolled out nationwide March 1, UnitedHealth is reviewing and adjusting facility claims for the most severe […]

ESO Launches 2018 ESO EMS Index to Track Nationwide EMS Performance Across Five Metrics

Documenting stroke assessment, 12-lead EKG, and aspirin administration highlight areas for improvement February 15, 2018 – AUSTIN, Texas – ESO Solutions, Inc., the leading data and software company serving emergency medical services (EMS), hospitals and fire departments, today announced the findings of its inaugural report, the 2018 ESO EMS Index. […]

Georgia Medicaid Expands EMS Reimbursement

Editors Comment: Welcome news from our friends in Georgia!  – Another example of payers moving toward economic models for EMS that include reimbursement for patient assessment, treatment and navigation to the most appropriate resource!  And, confirmation of something that Health Affairs journal identified several issues back – Medicaid programs are […]

New program lets hospital patients heal at home

NEW YORK — Roughly $1 trillion per year is spent on hospital care, which is about a third of all health care costs in the U.S. But a new program cuts costs by allowing patients to be treated at home. Dr. David Levine and nurse Kim Tierney of Boston’s Brigham […]