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Reimbursement

By Jeff Lagasse | 10:47 am | February 18, 2025
Sequestration and bad debt reimbursement continue to place added pressure on revenues.
By Jeff Lagasse | 08:23 pm | February 10, 2025
Challenges include technology gaps, provider shortages and reliance on data, the paper finds.
By Susan Morse | 11:27 am | January 31, 2025
A 2.8% payment cut went into effect on January 1 after a spending bill stripped a provision to prevent the decrease. 
By Jeff Lagasse | 02:54 pm | January 28, 2025
The figure of 190 million people has been amended from past estimates, which put the total at about 100 million.
By Susan Morse | 10:52 am | January 23, 2025
UnitedHealth had won its case over a secret shopper phone call that lowered its MA star rating from 5 to 4 stars.
By Susan Morse | 11:08 am | January 13, 2025
AMA says it's unbelievable that insurance companies are getting a pay increase while physician practices are struggling to survive.
By Susan Morse | 10:58 am | January 09, 2025
Enhanced tax credits that allow for low ACA premiums expire at the end of 2025.
By Susan Morse | 11:16 am | January 07, 2025
All commercial prescriptions dispensed at CVS Pharmacy will be reimbursed through CVS CostVantage.
By Susan Morse | 11:04 am | January 06, 2025
Mayo alleges that Sanford in South Dakota is responsible for $739,956.20 in medical expenses incurred by a patient in 2022.
By Susan Morse | 01:53 pm | December 31, 2024
The transaction is expected to position MultiPlan for more sustainable long-term growth amid revenue losses this year.