Reimbursement
Enhanced tax credits that allow for low ACA premiums expire at the end of 2025.
All commercial prescriptions dispensed at CVS Pharmacy will be reimbursed through CVS CostVantage.
Mayo alleges that Sanford in South Dakota is responsible for $739,956.20 in medical expenses incurred by a patient in 2022.
The transaction is expected to position MultiPlan for more sustainable long-term growth amid revenue losses this year.
New AI startups are facing difficulty getting off the ground even as the industry leans hard into the technology.
Stripped out of the final bill is a provision to prevent the 2.8% Medicare pay cut to physicians.
Higher-than-expected utilization and low reimbursement have challenged the program in 2024.
GenAI is expected to streamline documentation for appeals, providing faster reimbursement.
CMS is ordered to recalculate the star ratings without consideration of a "secret shopper" call that framed the dispute.