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Reimbursement

By Susan Morse | 06:57 pm | November 02, 2017
Physician fee schedule final rule also updates payments for biosimilars, pays for more telehealth services and provides detail on participation in APMs under MACRA.
By Susan Morse | 03:34 pm | November 02, 2017
Together, MDwise and McLaren Health Plan will serve more than 620,000 members, making it one of the region's largest system-run plans.
By Susan Morse | 01:14 pm | November 02, 2017
To integrate care, provide more services and stay competitive, hospitals are still building outpatient facilities.
By Susan Morse | 11:08 am | November 02, 2017
The new program, and the expected final MACRA rule, are proof that the new administration is serious about scaling back requirements for providers.
By Susan Morse | 06:39 pm | November 01, 2017
The final rule will also allow for higher outpatient payment when Medicare beneficiaries receive certain procedures in a lower cost outpatient department.
By Susan Morse | 01:53 pm | November 01, 2017
Accounting for lost subsidies, premium increases for 2018 silver-tiered plans range from 7.1 to 38 percent, Kaiser Family Foundation finds.
By Kaiser Health News | 12:02 pm | November 01, 2017
State markets are in charge of their own marketing and enrollment assistance programs, so are somewhat immune from Trump administration actions to undermine enrollment.
By Susan Morse | 05:39 pm | October 31, 2017
After failed merger with Humana, Aetna would need to convince feds that the merger is more than two industry behemoths coming together.
By Beth Jones Sanborn | 02:52 pm | October 31, 2017
In 2016, the total national spending on pay-for-quality hit $354.5 billion.
By Susan Morse | 01:03 pm | October 31, 2017
Insurer did not address rumors of CVS takeover, but said decision on its pharmacy benefits manager would be announced by mid-2018.