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Reimbursement

By Susan Morse | 01:40 pm | November 25, 2015
Halfway through the open enrollment period, another half million consumers signed up in the federal marketplace during the week of November 15-21, according to the Centers for Medicare and Medicaid Services.
By Healthcare Finance Staff | 11:09 am | November 25, 2015
CMS is requesting comment on whether health plans should designate network strength, such as indicating whether a plan has a broad number of doctors or health facilities in the network or not.
By Healthcare Finance Staff | 11:05 am | November 25, 2015
While CMS said it was "pleased to report that claims are processing normally," it's worth keeping in mind that the government agency has taken several temporary steps to smooth the transition to ICD-10 which may be masking problems that could manifest themselves down the road.
By Susan Morse | 03:37 pm | November 24, 2015
CMS is requesting comment on whether health plans should designate network strength, such as indicating whether a plan has a broad number of doctors or health facilities in the network or not.
By Healthcare Finance Staff | 01:07 pm | November 24, 2015
Many primary care practitioners will be a little poorer next year because of the expiration of a health law program that has been paying them a 10 percent bonus for caring for Medicare patients.
By Healthcare Finance Staff | 12:59 pm | November 24, 2015
People with hepatitis C who sought prescriptions for highly effective but pricey new drugs were significantly more likely to get turned down if they had Medicaid coverage than if they were insured by Medicare or private commercial policies, a recent study found.
By Healthcare Finance Staff | 12:54 pm | November 24, 2015
A new report by The Commonwealth Fund has found that a quarter of working-age adults struggle to pay for their healthcare in 2015 in the wake of rising deductibles and out-of-pocket costs.
By Kaiser Health News | 10:33 am | November 24, 2015
Many primary care practitioners will be a little poorer next year because of the expiration of a health law program that has been paying them a 10 percent bonus for caring for Medicare patients.
By Kaiser Health News | 10:13 am | November 24, 2015
In the last five years, 57 rural hospitals in the United States have closed, according to data from the Rural Health Research Program at the University of North Carolina. Others have declared bankruptcy, like the Mendocino Coast District Hospital.
By Jeff Lagasse | 09:20 am | November 24, 2015
A new report by The Commonwealth Fund has found that a quarter of working-age adults struggle to pay for their healthcare in 2015 in the wake of rising deductibles and out-of-pocket costs.