Accounting & Financial Management
The Federal IDR process is used when plans and providers cannot agree on the payment amount for out-of-network items and services.
Kroger Health has partnered with Better Health Group to offer value-based primary care to seniors.
HHS also released the names of the first 10 drugs under Part D selected for Medicare drug price negotiations.
Federal pandemic funding to the health sector was $174.6 billion in 2020, but just $2 billion in 2022, report says.
CentraCare Health has denials sitting out there for 300 days, creating administrative and financial burden, says rev cycle director.
The House passed H.R. 5378, a bill aimed at transparency in hospital pricing that also addresses PBM spread pricing.
AHA supports the Lower Costs, More Transparency Act (H.R. 5378) provision that would suspend Medicaid disproportionate share reductions for two years.
Heading into 2024, companies face elevated interest rates, weak liquidity and no appetite from lenders for highly-leveraged capital structures.
The organization attributes these results to the positive performance of its insurance businesses.
UnitedHealth reaffirmed its 2023 earnings guidance and set its 2024 profit outlook, largely in line with forecasts, report says.