Reimbursement
Over 18% of consumers signing up for a plan are new to the marketplace, including some who formerly had Medicaid coverage.
The approval, the agency says, allows New York to make large investments in wide-ranging Medicaid initiatives.
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Managing the revenue cycle in an everchanging market.
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.
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December 27, 2023
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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.
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.
For price transparency, CMS is requiring hospitals to display their standard charge information by conforming to a CMS template layout.