Billing and Collections
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.
Revenue reductions linked to Medicare Advantage denials surged by 55.7%, while those from commercial payers rose by 20.2% since 2022.
The AI-powered tools will increase transparency and access, says Cedar president Seth Cohen.
The bottom line is hospitals' operating cash flows and margins will improve and revenue growth will slightly top expenses.
Disputing parties would be encouraged to negotiate before initiating the IDR process, departments say.