Reimbursement

Reimbursement

Oct 30 | Susan Morse

Medicare Advantage payment changes for 2022 are expected to increase revenue by 2.82%

CMS is seeking feedback on a potential COVID-19 vaccination measure in the Medicare Advantage and Part D…

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CMS Administrator Seema Verma releases interim final rule on COVID-19 vaccine coverage.

Oct 28 | Susan Morse

COVID-19 vaccines must be covered at no cost, CMS says

Insurers are banned from charging administration costs and "balance billing is strictly prohibited," Seema Verma says.

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Two radiology doctors look at a scan of a patient

Oct 26 | Mallory Hackett

CMS delays start date of radiation oncology payment program after industry criticism

The decision comes after stakeholders said the model could result in even more financial challenges for…

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Oct 22 | Jeff Lagasse

HHS expands relief fund eligibility, updates reporting requirements

The relief resources are meant to assist providers regardless of whether they accept Medicare or Medicaid payments.

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Oct 21 | Jeff Lagasse

Hospital admissions projected to be down 10.5% in 2020

The drop in admissions suggests revenue losses that may be difficult for some hospitals to weather.

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Oct 20 | Jeff Lagasse

COVID-19 pandemic is shifting health systems' innovation priorities

Providers have looked to telehealth to continue seeing patients and revenue cycle technologies to improve efficiencies.

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Health insurance startup Sami's forthcoming app

Oct 20 | Jonah Comstock

Meet Sami, the record-breaking Brazilian insurance startup aiming to make value-based care work

Following in the footsteps of Oscar and Clover, Sami has raised $16.8M to date.

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Wheeling a patient in an emergency department

Oct 19 | Jeff Lagasse

Utilizing telehealth in the ER can reduce wait times and patient length of stay

Telehealth adoption under COVID-19 has provided a blueprint for wider implementation across ERs and other…

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Healthcare worker gives senior a vaccine shot

Oct 16 | Mallory Hackett

HHS partners with CVS and Walgreens to administer COVID-19 vaccine to long-term care facilities

Pfizer announced today it would apply for Emergency Authorization Use in the U.S. during the…

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Oct 16 | Susan Morse

Trump has no specific plan to replace ACA, despite grilling by Savannah Guthrie

Joe Biden says he will give his stance on court-packing before Election Day.

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Featured Resources

Debunk the Myth: Outsourcing Doesn't Mean Losing Control With shifts in payer mixes and reimbursement structure, the margin of reimbursement has been shrinking steadily over the last five years. How do revenue cycle leaders navigate payment reform while maintaining stable business office operations?

Care Collaboration Success for Improved Outcomes The nature of our healthcare ecosystem has been one of siloed care. Rarely do payers, providers and local resources come together with the patient's well-being prioritized as a unifying mission. Read how these organizations are getting it right.

Beyond Dollars and Cents: A Closer Look At Value Beyond the expected improvement in specific metrics, many organizations that outsource RCM with a trusted and certified partner are seeing several ancillary benefits of such agreements.

MostPopular

21 Medicare Advantage plans earn 5 stars in CMS release of star ratings

House passes $2.2 trillion COVID-19 relief bill

Average cost of COVID-19 hospitalizations is $34,662 to $45,683

CMS will reimburse for 11 new telehealth services during the PHE

News

Healthcare mergers and acquisitions in 2016: Running list While 2015 was a record-breaking year in healthcare mergers and acquisitions, 2016 saw more change as organizations across the industry adjust and adapt to the evolving financial landscape.

Once-failing hospitals say accountability, transparency key to surviving fallout from failing patient safety grades When Leapfrog released their Spring 2016 patient safety grades recently, 15 hospitals got slapped with a very public 'F' grade casting a spotlight on them that no institution wants. ...

Analyze this: Health systems, health plans get to the core of big data Pamela Peele knows that people who subscribe to cooking magazines have a much higher risk of going to the emergency room. But how she knows that is a whole other story.

Whitepapers

Clinical Quality Measures 101 Although quality-reporting programs such as meaningful use provide incentives to help providers implement and use electronic health records (EHRs) to collect and report on clinical data, practices often need help deciding what data to collect, which measures to report ...

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