Reimbursement

There was no direct link between low-value care exposure and favorable patient ratings.

The signs of progress are encouraging, but the metrics are still down slightly when compared to last month.

Using a technology platform for both providers and payers, Cedar says it is tackling a fragmented billing system.

Cigna says it expects demand for virtual care, especially for behavioral health services, to remain high post-pandemic.

Since April 1, premiums have been reduced by over 40% for nearly 2 million current HealthCare.gov enrollees.

While hospitals must still disclose their negotiated rates with payers, they no longer have to submit cost reports to CMS based on those rates.

This is to cover administration fees for the gap in costs not paid by insurers.

The agency is floating new requirements for hospitals to report on syndromic surveillance, immunization registries, electronic case reporting and electronic reportable laboratory results. It also has new plans for quality reporting.

Revised methodology for the rating system was finalized in the 2021 outpatient prospective payment system final rule. 

One of the biggest proposals is the repeal of the mandate that hospitals disclose their privately negotiated rates with payers.