Claims Processing
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.
When health systems have their staff manage revenue cycles, up to 25% of the day can be spent on repetitive tasks related to the revenue process.
FAIR Health attributes the increase in telehealth utilization to the pandemic, which forced nonemergency procedures to come to a halt in March.
When Medicare open enrollment starts tomorrow, 2021 is expected to be the largest enrollment year for UHC's Medicare Advantage plans.