Reimbursement
Government watchdog estimated that during a 6-month audit period, Medicare paid hundreds of millions for services that did not comply with the agency's requirements.
The platform gives providers patient data to earn incentives from risk-based contracts.
A new analysis shows that resistance costs the healthcare industry more than $2 billion annually and, what's more, can easily surpass $1,000 when treating a single patient.
Insurers in the individual market are starting work on setting premium rates for this October without federal cost-sharing reduction funds or a reinsurance program.
The government's repeal of the ACA's individual mandate has threatened stability already and the Robert Wood Johnson Foundation is projecting that fewer insurers will lead to higher premiums.
As Congress debates appropriations legislation with the Friday deadline looming, cost-sharing reduction payments and reinsurance face uphill battle for inclusion.
The insurer claims ER physician staffing firm is charging 'outrageous' rates, while Envision blames UnitedHealthcare for out-of-network charges.
The joint venture currently offers employers with employees in northern California self-insured commercial products with effective dates as early as April 1.
Arizona Care Network said the distributed digital ledger technology can help support contracts, deliver actionable data to clinicians, and make timely payments.
An electronic prescription drug monitoring program network would track controlled substance prescriptions in a state.