Claims Processing
Affordable Care Act medical loss ratio rebates in 2021 will likely be exceptionally large across commercial markets.
Communication between consumers and payers needs to be seamless, and all need to have access to the same health plan information, Zipari CEO says.
The American Hospital Association criticized the report as making broad claims about pricing based on a cherry-picked and limited data set.
Expansion increases customer reach by 50% over last year, adding close to 80 new counties.
In response to what AHIP said was price gouging, the organization has called for policy changes to stop the practice from continuing.
Humana says it was billed millions of dollars for fraudulent prescription claims and members received unwanted expensive creams.
The majority of health plans say they do not feel ready to meet the new FHIR interoperability standards mandated by CMS.
From October 1, 2019 to April 4, the flu killed from 24,000 to 62,000 Americans and caused at least 410,000 hospitalizations, according to the CDC.
The Energy and Commerce Committee calls for a reporting as AHIP says the next half-year could bring higher costs as the amount of care increases.
The insurer will provide an additional $6 million in financial support to independent primary care physicians and community health centers.