Vanderbilt University Medical Center Forms Nation’s Largest Clinically Integrated Network that includes Its Own Health Insurance Offering

Jul 8, 2013 | Coding, Billing, and Collections, Digital Pathology, Instruments & Equipment, Laboratory Hiring & Human Resources, Laboratory Management and Operations, Laboratory News, Laboratory Sales and Marketing, News From Dark Daily

Clinically integrated networks is one market trend in response to shift away from fee-for-service payment and toward value-based provider reimbursement One fast-developing trend is that of academic centers forming integrated networks with various providers within a community and a surrounding region. This is related to a movement to establish accountable care organizations (ACOs). But it is also a response to actions by payers to narrow their networks and exclude high-cost providers, such as...

Tennessee Medicaid Develops CoverTN Low-Cost Health Plan

May 23, 2007 | Managed Care Contracts & Payer Reimbursement

Faced with spiraling costs and funding gaps, state Medicaid programs continue to be a breeding ground for innovation. The latest clever attempt to reform Medicaid comes from Tennessee, where Governor Phil Bredesen created a new “mini-medical” health insurance plan called CoverTN to meet the needs of the Tennessee’s uninsured. Unlike Medicaid innovators in other states who are looking at replacing universal coverage with plans that provide people with protection against catastrophic costs,...
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