Claims Processing
Getting paid has become imperative during a time when both hospitals and patients may be cash-strapped.
Northwell reportedly sued thousands of patients last year for unpaid medical bills averaging $1,700.
The report found that 53% of hospitals in the bottom quartile of the area wage index for 2020 were in rural areas.
Consumer Reports hails passage as being good for providers who feel pressured into contract terms that benefit insurers.
Negotiations of drug prices are to be based on clinical outcomes; if the drug is not effective, the payer is not held accountable for the full price.
The new opportunity will test how financial risk-sharing can reduce Medicare expenditures while preserving the quality of care for beneficiaries.
In a recently announced merger with the larger Intermountain system, CEO Kelby Krabbenhoft was to serve as president emeritus.
Risk adjustment data validation ensures payment integrity and accuracy - and it affects what plans are paid.
Payers, employers, organized medicine and researchers can alter the mounting financial and clinical barriers patients face, the AMA says.
The rule seeks to reduce federal regulatory barriers, support adaptability and promote transparency and innovation.