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Reimbursement

By Susan Morse | 11:12 am | September 13, 2016
Health system-owned plans now represent 52 percent of health insurance products, AIS said.
By Jeff Lagasse | 03:26 pm | September 12, 2016
Medicare already plans to stop paying certain hospital-owned physician practices at higher rates than those that are independently owned.
By Susan Morse | 02:14 pm | September 12, 2016
Insurer drew attention two years ago as the only Affordable Care Act co-op to make money from its exchange products, reporting a net income of $7.3 million in 2014.
By Jeff Lagasse | 02:54 pm | September 09, 2016
A higher chargemaster price can increase the payment from private insurers, which often pay for outpatient and ancillary services based on discounted chargemaster prices.
By Kaiser Health News | 11:08 am | September 09, 2016
Consumers Union wants to know why the cost projections submitted by Anthem and Blue Shield are so much higher than some of their competitors and other industry-wide figures.
By Susan Morse | 10:07 am | September 09, 2016
Aetna, however, said many insurers have been forced to leave the exchanges due to what it called the instability of the marketplace.
By Beth Jones Sanborn | 11:30 am | September 08, 2016
Hospitals that perform joint replacements on older, sicker patients under the program will suffer under reconciliation payment reductions, research suggested.
By Susan Morse | 01:28 pm | September 07, 2016
The number of those with high-deductible plans did rise significantly, according to the statistics.
By Beth Jones Sanborn | 10:58 am | September 07, 2016
Leaders from the House Ways and Means Committee and the House Energy and Commerce said healthcare providers need more time.
By Susan Morse | 10:20 am | September 07, 2016
In 2015, patient-centered practices and hospitals received $58.9 million in care coordination and shared savings payments for reaching quality and savings goals, the company said.