Susan Morse
Insurers provide the broader view on claims while hospitals have the deeper information on patient care through electronic medical records and clinical data.
Cost-sharing reduction payments to insurers not addressed in plan, but work of Senate committee that is addressing CSRs complements bill, Senators say.
Department of Health and Human Services is expected this week to release letters announcing funding, based on enrollment performance; Navigators expect a reduced amount
Culture of security starts with getting a buy-in from top executives on the importance of protecting information.
Cancer care is being shifted away from the private, physician-owned community oncology clinics and into the much more expensive 340B hospital settings, the Community Oncology Alliance says.
In Connecticut, exchange carriers have been asked to provide a supplemental rate filing that assumes CSRs will not be paid.
Insurers facing a Sept. 20 deadline to file final premium rates on the exchanges must decide whether to assume CSRs will continue, increase premiums, or leave market.
Maryland insurer, one of 23 consumer oriented and operated health plans set up under the Affordable Care Act, is among many ACA co-ops that have failed financially.
A CMS hotline is available for non-certified Part B providers and other practitioners to initiate provisional temporary Medicare billing privileges.
In Kentucky, Anthem will reduce its 2018 individual exchange plan offerings by half, from selling plans in 120 counties to 59 in 2018.