Why it’s time for hospitals to modernize their payment systems
By improving billing and payment systems, healthcare providers can help ease what is a common, anxiety-inducing burden for many patients.
By improving billing and payment systems, healthcare providers can help ease what is a common, anxiety-inducing burden for many patients.
To get to the root of existing reimbursement problems, health plans should consider tackling genomic benefits management in a way that addresses test ordering and […]
The companies will build its claims processing platform on Google Cloud’s infrastructure, leveraging artificial intelligence and machine learning capabilities. The goal of the collaboration is […]
Per the new interim final rule, parties that cannot agree on out-of-network payment rates must enter into a 30-day open negotiation period. If that fails, […]
The reimbursement model for remote patient monitoring needs to evolve as it may be holding providers back from investing in these programs, according to panelists […]
Now, Covid-19 vaccine administrators can earn an additional $35 per vaccination for up to five Medicare beneficiaries who live in a communal living space, like […]
The answer to rural healthcare’s financial issues could lie in a payment model that pools funds from public and private insurers alike to pay for […]
CMS is increasing the payment for administering at-home Covid-19 vaccinations from around $40 to $75 per dose. The move comes amid the Biden administration’s push […]
In a move that ACOs found “disappointing,” CMS has declined to extend the Next Generation ACO Model beyond 2021. Though evaluations have found that the […]
Eleven provider organizations sent a letter to HHS urging them to reconsider the new rules around quality measurement and reporting for ACOs. One of the […]
CMS has released its proposed inpatient payment rule for fiscal year 2022, which includes a payment bump that could increase reimbursement for hospitals by $2.5 […]
The California-based provider has filed a lawsuit against the payer, claiming Anthem has yet to pay for the care it provided to patients covered by […]
CMS has increased the Medicare payment rate to $40 for administering single-dose Covid-19 vaccines and $80 for two-dose vaccines. The payment increase aims to support […]
The health system and payer will coordinate care for eligible Medicare Advantage patients through the ACO, with the aim of improving health outcomes and reducing […]
As precision medicine gains steam, the question arises: how can reimbursement models evolve to support these often costly therapies and ensure patient access is not […]
The new Geographic Direct Contracting Model aims to improve quality of care and slash costs for Medicare beneficiaries across an entire region. It involves setting […]
The final physician payment rule for next year includes changes to the list of telehealth services covered by Medicare and updated payment policies for remote […]
CMS will cover monoclonal antibody treatments for Medicare beneficiaries with Covid-19. Though this is a step forward in increasing access to these treatments, there are […]
A new survey of U.S. physicians shows that they have differing views on how the payer market needs to evolve, but a vast majority agree […]
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