Healthcare Finance Staff
West Virginia hospitals are savings millions annually thanks to declines in uncompensated care due to Medicaid expansion, according to figures released by advocacy group West Virginians for Affordable Health Care.
The Medicare Payment Advisory Commission and other organizations representing Medicare Advantage plans that serve low income and disabled populations say two options for interim relief on star quality ratings do not go far enough to address how socioeconomics affect scores.
Blue Cross Blue Shield of Arizona and Tenet Healthcare have come to a four-year deal that allows Carondelet Health Network and Abrazo Community Health Network to remain part of the local network in 2016, according to the local Blue Cross Blue Shield of Arizona.
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Health plans reimbursed customers approximately $478 million in 2014, translating to about $129 per family receiving a refund, according to data aggregation firm Mark Farrah Associates.
Six million renew plans while 2.5 million are newly insured through marketplace.
A pre-authorization process for certain medical supplies has worked to bring down costs in sample studies and will help prevent questionable billing practices.
The state of Maryland is proposing significant changes to how its Medicaid system doles out cash to methadone treatment clinics.
Saint Peter's sued Horizon over what it said was its wrongful exclusion.
The Patient Access and Medicare Protection Act, which was recently passed, will hold Medicare reimbursement rates steady for freestanding radiation oncology centers. Additionally, two providers listed as B3 stable, 21st Century Oncology and Vantage Oncology, will see their 2016 rates hold steady for 2017-18, according to a report from Moody's Investor Service.