Topics

Reimbursement

CMS sign at HIMSS17.
Sep 20 | Susan Morse
CMS has made it clear that it wants health systems to share the risk of cost and outcomes.
Emergency room.
Sep 19 | Jeff Lagasse
CMS levies reimbursement penalties against hospitals that underperform on 30-day readmission rates, leaving…
Change Healthcare booth at HIMSS18.
Sep 18 | Susan Morse
Payers and providers can track, in real time, the status of claims submissions and remittances.
Scales of justice
Sep 11 | Susan Morse
AHA joins other 340B stakeholders in asking the court to declare the delay unlawful and to enact…
Counting savings
Sep 11 | Susan Morse
ACO MSSP generated savings of $1.84 billion from 2013 to 2015, nearly double the $954 million estimated by…
Healthcare.gov homepage
Sep 10 | Susan Morse
Two new reports find payers expanding their footprint in the Affordable Care Act marketplace…
UnitedHealthcare sign.
Sep 10 | Susan Morse
Ruling throws out 2014 rule, leading to question of how CMS will determine whether it has overpaid an MA insurer.
Montana Health Co-Op
Sep 07 | Susan Morse
The insurer says it is owed $5 million in payments mandated under the Affordable Care Act.
Pacemaker X-ray.
Sep 06 | Jeff Lagasse
The total spend increase for CRM devices is 8 percent, which translates to a $400 million…
Courtroom with gavel.
Sep 06 | Susan Morse
Judge to decide whether loss of individual mandate is tied to keeping essential benefits for those…

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