Topics

Reimbursement

Court rules against insurers in risk corridors payments
Jun 14 | Susan Morse
Between 2014 and 2016, total payments fell short by more than $12 billion.
Signature Healthcare hit with $30M settlement over alleged billing scheme
Jun 12 | Beth Jones Sanborn
The Kentucky-based skilled nursing provider also allegedly forged pre-admission certifications…
Maryland all-payer model expands to outpatient services
Jun 12 | Susan Morse
For the first time, CMS is holding a state fully at risk for the total cost of care for Medicare beneficiaries.
Jun 12 | Bill Siwicki
Technology to facilitate a patient's understanding of insurance coverage and out-of-pocket cost for pending…
Small business owners fret over health coverage
Jun 11 | Jeff Lagasse
More than six in 10 said that a 15 percent increase in premiums would make their current group health insurance…
Jeff Sessions will not defend ACA’s individual mandate
Jun 08 | Susan Morse
The Department of Justice normally defends laws in court, but will not in the case of a lawsuit…
27 percent of health systems plan Medicare Advantage launch
Jun 07 | Jeff Lagasse
Executives say the top reason for launching a Medicare Advantage plan is the…
Why mandatory bundled payment programs matter
Jun 07 | Jeff Lagasse
Medicare's cost-containment strategy has been rolled out on a trial basis for more than 2,000 U.S. hospitals and new…
Report: Medicare will be insolvent in 8 years
Jun 06 | Susan Morse
The trustees' report shows Part D spending projections are lower than what was projected last year.
ACO Partner rewards physicians for shared savings
Jun 05 | Susan Morse
Unlike a traditional ACO, providers can earn rewards for value-based performance but are not charged membership or service…

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