Reimbursement
Nearly half of U.S. physicians are unfamiliar with the Medicare Access and CHIP Reauthorization Act of 2015, also known as MACRA, according to a new survey of 600 doctors by research and consulting giant Deloitte.
Three participating providers in Next Generation have dropped out, with two citing financial targets as the reason for the departure.
Backers of Montana's seven-month-old Medicaid expansion say they're pleased with the first set of financial data released this week.
Government spending on "compounded" drugs that are handmade by retail pharmacists has skyrocketed, drawing the attention of federal investigators who are raising fraud and overbilling concerns.
Medicaid expansion is making a difference as to whether hospitals are investing in clinics, new equipment and hiring new staff, or looking at the status quo and layoffs, according to a recent report by Georgetown University Health Policy Institute.
Aetna and Gateway Health are forming an accountable care organization and releasing a new individual insurance plan to sell on Healthcare.gov in time for the 2017 open enrollment period, both organizations said.
New failures are piling up among the member-run health insurance co-ops carrying out one of the Affordable Care Act's most idealistic goals, leaving just seven remaining when the health law's fourth enrollment season starts in the fall.
Another Affordable Care Act co-op has gone under due to the federal risk adjustment mandate and four more are expected to disappear by the fall, leaving the number of working co-ops at the start of the new enrollment season at seven.
With Centers for Medicare and Medicaid Services Acting Administrator Andy Slavitt announcing to the Senate Finance Committee Wednesday that the implementation of MACRA may be delayed, physician groups are weighing in, generally agreeing that a delay would benefit smaller practices in particular.
Red Oak claims self-insured or fully insured companies and their coverage plans administered by UnitedHealthcare have conspired to embezzle funds through a process called recoupment.