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Reimbursement

By Susan Morse | 10:10 am | June 04, 2021
The health plans contend they lost their ability to improve their star ratings due to the CMS interim final rule.
By Susan Morse | 05:14 pm | June 03, 2021
The bill would give incentive for medical school graduates to go into primary and family care rather than a more lucrative specialty.
By Susan Morse | 10:28 am | June 03, 2021
Insurers should be mandated to continue to waive inpatient out-of-pocket costs, report says.
By Jeff Lagasse | 03:09 pm | May 28, 2021
There was no direct link between low-value care exposure and favorable patient ratings.
By Jeff Lagasse | 11:58 am | May 24, 2021
The signs of progress are encouraging, but the metrics are still down slightly when compared to last month.
09:36 am | May 19, 2021
Using a technology platform for both providers and payers, Cedar says it is tackling a fragmented billing system.
By Jeff Lagasse | 03:42 pm | May 13, 2021
Cigna says it expects demand for virtual care, especially for behavioral health services, to remain high post-pandemic.
By Susan Morse | 11:07 am | May 11, 2021
Since April 1, premiums have been reduced by over 40% for nearly 2 million current HealthCare.gov enrollees.
By Susan Morse | 10:32 am | May 06, 2021
While hospitals must still disclose their negotiated rates with payers, they no longer have to submit cost reports to CMS based on those rates.
By Susan Morse | 04:51 pm | May 03, 2021
This is to cover administration fees for the gap in costs not paid by insurers.