Billing and Collections
Senator Klobuchar has introduced legislation prohibiting the use of pricing algorithm collusion through the use of nonpublic competitor data.
There was a relatively sharp increase in in-network percentages nationally and in all regions across all specialties.
The only negative trend was a dramatic increase in the use of the Independent Dispute Resolution process.
Some 34% have had their coverage renewed and 17% have been disenrolled, according to KFF's latest analysis of state-level data.
CMS is seeking data-related input from the public related to access to care, prior authorization, supplemental benefits and more.
Virtual cards are embedded within health tech platforms that use API connectivity between payers and providers.
Humana opposes the transfer to the Dallas division, DOJ says.
MGMA: Since plans often benchmark their rates based on the Medicare Physician Fee Schedule, the low rates underscore the negative impact of the cuts.
The Federal IDR process is used when plans and providers cannot agree on the payment amount for out-of-network items and services.