Accounting & Financial Management
CMS attributes the increases in part to rising prices and utilization across the healthcare system, as well as the Alzheimer’s drug Aduhelm.
Hospitals in non-expansion states would see more than $6.8 billion in new spending as a result of the BBBA’s closing of the Medicaid gap.
Every member plan added new health benefits, or expanded existing ones, without increasing costs to consumers, report finds.
Supply chain disruptions and shortages have driven up prices and forced a return to the costs of carrying larger inventories.
Lobbies for doctors and dentists in California say insurers should foot the bill for pandemic expenses.
Between 2015 and 2019, spending increased by 21.8%, or $1,074 per person, with prices rising and utilization declining.
Clinical labor costs are up by an average of 8% per patient day, translating to $17 million in additional annual labor expenses.
Last year's increase was the smallest in decades and is seen as an anomaly, as many people deferred care and embraced telemedicine.
The average estimated allowed amounts rose 76.4%, while the average Medicare reimbursements rose 4.7% from 2017 to 2020.
The rule includes a payment dispute resolution process for uninsured or self-pay individuals, and outlines requirements for cost estimates.