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Reimbursement

By Susan Morse | 11:04 am | October 16, 2019
In the age of consumerism, virtual visits meet consumers where they are, says Anthem executive.
By Susan Morse | 10:42 am | October 15, 2019
The bonus pool size in 2018 was $6.3 billion, which goes to 4-star and above plans as $500 per member, per year.
04:43 pm | October 14, 2019
Younger consumers are especially are willing to switch providers over a bad billing experience.
By Jeff Lagasse | 03:44 pm | October 14, 2019
Smoking cessation efforts could ultimately be a strong investment that allows the hospital to retain more reimbursement dollars.
By Jeff Lagasse | 12:05 pm | October 14, 2019
UTC Laboratories was charged with billing Medicaid for unnecessary pharmacogenetic testing.
By Susan Morse | 10:26 am | October 11, 2019
A perfect storm of an aging demographic, lower premiums, high margins and CMS flexibility is behind MA success amid political Medicare for All.
By Jeff Lagasse | 05:16 pm | October 08, 2019
There was a decrease in utilization among CHECK-enrolled patients, but the reduction was similar in the control group.
By Jeff Lagasse | 12:52 pm | October 08, 2019
Savings produced by capping the teaching health center graduate medical education rate would allow the THC program to expand tenfold, research shows.
By Jeff Lagasse | 01:01 pm | October 07, 2019
Higher telehealth rates would open doors for companies such as Amazon and WalMart to expand their healthcare business.
By Susan Morse | 08:23 pm | October 03, 2019
The order outlines sweeping policy and regulatory proposals including modifying Medicare fee for service payments to reflect the prices paid in MA plans and the commercial market.