Accounting & Financial Management
There's unpredictability in the new program, and Clover is aiming to lower its medical cost ratio, says President Andrew Toy.
Costs more than offset revenue gains, with total direct expense per provider climbing 9% from the year prior, reaching more than $626,000.
Bright Health is exiting the ACA market to focus on ACO Reach and both CEOs are looking at partnerships.
In 2020, healthcare lobbying expenditures totaled $713.6 million, vs. $358.2 million in 2000, with a focus on pharmaceuticals and providers.
This financial performance is attributable to a couple of factors, including Medicare membership increasing by 22%.
CMS appropriately made CAAP Program payments to all 100 providers that were randomly selected in the OIG's audit.
Philips will focus on demonstrating the trust hospital leaders have in its ability to help them enhance health outcomes and lower costs.
Revenues reached $39.9 billion, up 11.5% from the $35.8 billion in revenue posted a year ago.
The complaint charges Cigna with encouraging diagnoses that yielded higher reimbursement for MA members.
While not all administrative spending is wasteful, about half is likely ineffective, meaning it has no effect on care quality, authors say.