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Reimbursement

By Susan Morse | 10:39 am | April 03, 2025
Cuts in Medicaid would likely mean that many beneficiaries would lose coverage, leading to more uncompensated care for hospitals.
By Susan Morse | 11:11 am | March 27, 2025
Hospitals that are already struggling will lose funding, say the Democratic state treasurers of Republican-proposed cuts.
By HIMSS TV | 10:49 am | March 26, 2025
Members are frustrated by not finding accurate information online, by being unable to get a live agent or by lack of preventative care options, says Rita Sharma, chief product officer at Pager Health.
By Jeff Lagasse | 10:54 am | March 24, 2025
The PBM says the payment model more closely aligns with the costs pharmacies often face due to "manufacturer pricing actions."
By Susan Morse | 10:58 am | March 20, 2025
The layoffs affect Johns Hopkins University and the nonprofit Jhpiego, which works closely with USAID.
By HIMSS TV | 09:00 am | March 13, 2025
Denials are the bane of patients and providers, but without them, healthcare costs would rise, says Christine Stetler, a registered nurse and AVP of Solution Engineering at MedeAnalytics.
By Susan Morse | 10:58 am | March 12, 2025
More practices will close and Medicare patients will pay the price, says AMA President Dr. Bruce A. Scott. 
By Jeff Lagasse | 10:59 am | February 28, 2025
Providers have partially offset a lower patient collection rate by improving POS collections and collection on bad debt.
By Susan Morse | 11:23 am | February 26, 2025
Letter to CEO Andrew Witty follows report of DOJ launching investigation into the company's billing methods.
By Susan Morse | 10:58 am | February 24, 2025
The FTC maintains that PBMs systematically prefer high list price insulin products with high rebates and fees over low list products.