Susan Morse
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.
A last-ditch Republican repeal-and-replace bill would give states block grants to design individual coverage options.
This year, getting reimbursed is all about making sure the codes reflect the actual care given.
America's Health Insurance Plans, the American Hospital Association and six other organizations want CSR payments through 2019.
Hospitals can retain their autonomy while gaining the efficiency and scale benefits of a merger.