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Reimbursement

By Jeff Lagasse | 01:01 pm | April 26, 2019
The rate of revenue growth in 2018 eked ahead of expenses for the first time since 2015.
By Laura Lovett | 11:53 am | April 26, 2019
The telemedicine company and insurer have developed a new virtual care model that lets patients access an in-network primary care doctor with no copay.
By Susan Morse | 01:46 pm | April 25, 2019
Hospitals use the ratings on quality measures as they seek skilled nursing facilities for inclusion in their preferred networks.
By Jeff Lagasse | 12:19 pm | April 24, 2019
Medicare spends approximately $35 billion annually on care for beneficiaries with end-stage renal disease.
By Susan Morse | 12:14 pm | April 24, 2019
A joint contract between CMS, states and health plans would pay a capitated amount to provide integrated Medicare and Medicaid services.
By Susan Morse | 06:18 pm | April 23, 2019
The change would ramp up add-on payments to hospitals that implement new tech and increase the wage index for rural and other qualifying hospitals.
By Susan Morse | 04:59 pm | April 23, 2019
Pre-existing coverage remains protected, though a new type of high risk pool approach could better tailor coverage for these enrollees, Verma says.
By Susan Morse | 01:45 pm | April 23, 2019
Part D drug spending projections are lower than last year because of slower price growth and a continuing trend of higher manufacturer rebates.
By Jeff Lagasse | 03:28 pm | April 22, 2019
Reasons for the jump include implementation of the ICD-10 coding system, increasing healthcare costs and EHRs.
By Susan Morse | 02:17 pm | April 22, 2019
SNFs will be scored on a measure of potentially preventable hospital readmissions and on two new quality measures for interoperability.