Reimbursement

Humana opposes the transfer to the Dallas division, DOJ says.

MGMA: Since plans often benchmark their rates based on the Medicare Physician Fee Schedule, the low rates underscore the negative impact of the cuts.

Removing discrepancies in care documentation and coding increases per patient visit charge by 21%.

The organization attributes these results to the positive performance of its insurance businesses.

Revenue reductions linked to Medicare Advantage denials surged by 55.7%, while those from commercial payers rose by 20.2% since 2022.

<p>Taiwan has a single payment insurance system and pay-for-performance, but the challenges of interoperability and measuring outcomes remain, says Dr. I-Rue Lai, vice superintendent at National Taiwan University Hospital.<br />  </p>

For price transparency, CMS is requiring hospitals to display their standard charge information by conforming to a CMS template layout.

Physician pay in final rule is untenable, providers say, as they laud the delay of MIPS policy and extension of telehealth flexibilities.

The company cites clinical expertise and service capabilities across the company, boosted by "disciplined execution."

CMS had originally proposed a 2.2% decrease to account for the permanent behavior assumption adjustment.