Budgeting
Employers projected a higher average increase for next year, and they should prepare for continued accelerated cost growth.
The authors framed coding practices as one element of an ongoing "tug-of-war" between payers and providers.
Total expenses are cumulatively 20% above pre-pandemic levels.
In a multiyear national strategic partnership with Evolent, Centene will expand its relationship with Magellan Specialty Health.
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.
This financial performance is attributable to a couple of factors, including Medicare membership increasing by 22%.
Revenues reached $39.9 billion, up 11.5% from the $35.8 billion in revenue posted a year ago.
Hospitals logged $39.3 million in improper Medicare Part B payments from 2016 to 2021, a new audit has found.
Envision will see weak liquidity over the following 12 to 18 months, and its $1.4B cash reserve will likely run dry by the end of next year.