Health Care Reimbursement News

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Healthcare Finance News

(8 days ago) WEBHealthcare Finance provides timely and in-depth coverage of the challenges faced by healthcare providers and payers in light of skyrocketing healthcare costs, regulatory developments and …

https://www.healthcarefinancenews.com/

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Government Programs Don’t Cover the Cost of Caring … Hospitals …

(1 days ago) WEBThe federal government has a history of reimbursing hospitals below of the cost of providing care to patients. For Medicare, which covers more than 60 million …

https://www.aha.org/news/perspective/2024-01-26-government-programs-dont-cover-cost-caring-hospitals-need-support-not-more-payment-cuts-would

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Reimbursement Healthcare Finance News

(6 days ago) WEBCredible, Defensible Estimates. In healthcare, every interaction with the patient matters. Especially in today's environment of continuous improvement, efforts …

https://www.healthcarefinancenews.com/resource-topic/reimbursement

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Hospitals are fighting a Medicare payment fix that would save tax …

(6 days ago) WEBKFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF — the …

https://www.npr.org/sections/health-shots/2024/02/13/1230991999/medicare-hospital-site-neutral-payment-cut

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Massive federal spending bill alleviates reimbursement concerns …

(9 days ago) WEBHealthcare provider advocates applauded the inclusion of key reimbursement relief measures and other policies in a proposed federal spending bill for FY23, although …

https://www.hfma.org/payment-reimbursement-and-managed-care/medicare-payment-and-reimbursement/massive-federal-spending-bill-alleviates-reimbursement-concerns/

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Cyberattack Paralyzes the Largest US Health Care Payment System …

(4 days ago) WEBThe hacking shut down the nation’s biggest health care payment system, causing financial chaos that affected a broad spectrum ranging from large hospitals to …

https://www.nytimes.com/2024/03/05/health/cyberattack-healthcare-cash.html

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Healthcare Reimbursement Changes: Inpatient Coverage

(1 days ago) WEBMikki Fazzio, RHIT, CCS. On November 2, 2021, the Centers for Medicare and Medicaid Services (CMS) released the 2022 Hospital Outpatient Prospective Payment System (OPPS) final rule, which …

https://www.healthcatalyst.com/insights/healthcare-reimbursement-changes-inpatient-coverage

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Reimbursement News - RevCycleIntelligence

(2 days ago) WEBReimbursement News and Tips for Healthcare. May 9, 2024 - A new study published in JAMA Health Forum finds participation in the 340B Drug Pricing Program …

https://revcycleintelligence.com/topic/reimbursement

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Private equity in health care: three takeaways going forward

(9 days ago) WEBThree takeaways are: (1) Health care reimbursement is finite. The goal of short-term investments in providers that depend on third party reimbursement is a hard …

https://www.reuters.com/legal/litigation/private-equity-health-care-three-takeaways-going-forward-2024-05-09/

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Health Costs And Financing: Challenges And Strategies For A New

(Just Now) WEBAccording to the Health Care Payment Learning and Action Network, the share of health care payments administered via alternative payment models increased …

https://www.healthaffairs.org/doi/10.1377/hlthaff.2020.01560

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Health Insurance and Managed Care - The New York Times

(1 days ago) WEBA data analytics firm has helped big health insurers cut payments to doctors, raising concerns about possible price fixing. By Chris Hamby. Senators Slam UnitedHealth’s …

https://www.nytimes.com/topic/subject/health-insurance-and-managed-care

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Medicare Reimbursement News and Resources for Healthcare

(9 days ago) WEBCMS Finalizes a $140M Increase to Medicare Home Health Payment Rates. November 02, 2023 by Victoria Bailey. After initially proposing a decrease, CMS has …

https://revcycleintelligence.com/tag/medicare-reimbursement

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Employers facing rising health care costs get tough on providers

(3 days ago) WEBEmployers trying to rein in rising health costs are also taking the fight directly to health care providers.. Why it matters: New transparency around the price of health …

https://www.axios.com/2024/05/13/health-costs-employers-hospitals-doctors

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Patients with private insurance can face higher health costs

(8 days ago) WEBMay 13, 2024, 1:09 PM PDT. By Berkeley Lovelace Jr. People with private health insurance might pay higher prices for procedures or tests at a hospital. A report …

https://www.nbcnews.com/health/health-news/private-insurers-patients-can-face-higher-health-costs-hospitals-rcna151951

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Proposed Payment Rule Could Trigger $18B - Home Health Care …

(2 days ago) WEBReleased on June 17, the 2023 home health proposed payment rule seeks to lower aggregate provider payments by 4.2%, or about $810 million.That figure includes …

https://homehealthcarenews.com/2022/07/proposed-payment-rule-could-trigger-18b-cumulative-cut-to-medicare-home-health-reimbursement/

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He put up $14,000 for surgery and waited for his reimbursement. It

(1 days ago) WEBKFF Health News, formerly known as Kaiser Health News (KHN), is a national newsroom that produces in-depth journalism about health issues and is one of …

https://www.npr.org/sections/health-shots/2024/04/30/1247881082/financial-policies-doctors-insurance-owe-transgender-affirming-care

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The Way We Pay for Healthcare Will Change - WSJ

(9 days ago) WEBThe administrative complexities of collection have become a nightmare for the industry, combined with the unreliability of insurance reimbursement. Upfront payment …

https://www.wsj.com/articles/the-way-we-pay-for-healthcare-will-change-5785ceb5

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CHS sues MultiPlan for allegedly colluding to lower provider …

(4 days ago) WEBCommunity Health Systems, one of the largest hospital chains in the U.S., is suing cost management firm MultiPlan for allegedly conspiring with health insurers to …

https://www.healthcaredive.com/news/chs-sues-multiplan-provider-underpayment/715757/

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Ransomware attack on U.S. health care payment processor

(9 days ago) WEBFallout from a ransomware attack on the country’s largest health care payment processor is “the most serious incident of its kind leveled against a U.S. health …

https://www.nbcnews.com/tech/security/ransomware-attack-us-health-care-payment-processor-serious-incident-ki-rcna141322

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Reimbursement Healthcare Finance News

(1 days ago) WEBWalmart announces closing of clinics and virtual care. Business model is unsustainable due to a challenging reimbursement environment and escalating operating costs, company …

https://www.healthcarefinancenews.com/resource-topic/reimbursement/news

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Rural hospitals facing low Medicare Advantage pay risk closing

(5 days ago) WEBHealthcare insurance association AHIP pointed to a federally funded study published in the American Journal of Managed Care last fall that used data from before …

https://www.modernhealthcare.com/politics-policy/rural-hospitals-medicare-advantage-pay-closing

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Missouri House passes key bill renewing taxes that fund health care

(9 days ago) WEBThe federal reimbursement allowance, originally sponsored in the state Senate by Sen. Lincoln Hough, levies taxes on a variety of health care services, while also …

https://www.news-leader.com/story/news/politics/2024/05/15/missouri-house-passes-key-bill-renewing-taxes-that-fund-health-care/73703586007/

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Reminder: New Reimbursement Policies Starting June 15

(2 days ago) WEBStarting June 15, 2024, we are introducing two new reimbursement policies for EmblemHealth and ConnectiCare. The first is a policy for compression garments that …

https://www.emblemhealth.com/providers/news/new-reimbursement-policies-june-202405

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State of New Jersey

(4 days ago) WEBThe mission of the Division of Consumer Affairs, within the Department of Law and Public Safety, is to protect the public from fraud, deceit, misrepresentation and …

https://www.nj.gov/oag/newsreleases20/pr20200811c.html

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Coding and Reimbursement Policy and Guidelines Updates

(8 days ago) WEBThe following coding and reimbursement policy and/or guideline updates will become available on the website within the next 45 days. The changes below can be …

https://www.bcbsnd.com/providers/news-resources/healthcare-news/coding-and-reimbursement-policy-and-guidelines-updates

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Financial Assistance Policy Hackensack Meridian Health

(1 days ago) WEBFinancial Assistance Programs - New Jersey Medicaid or NJ Hospital Care Assistance Program (Charity Care) All patients that are unable to pay the Hospitals Compassionate …

https://www.hackensackmeridianhealth.org/en/pay-bill/financial-assistance/financial-assistance-policy

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Eligible Expenses for Your Horizon MyWay Flexible

(6 days ago) WEBYou can use your Horizon MyWay Flexible Spending Account (FSA) to pay for a wide variety of health, dental and vision care products and services for you and your covered …

https://www.horizonblue.com/sites/default/files/2019-11/EC00749_Health_FSA_Eligible_Expenses.pdf

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Pueblo's St. Mary-Corwin patients may see issues with Anthem …

(9 days ago) WEBTo get ongoing updates, ask questions, or fill out a continuity of care form, St. Mary-Corwin patients with Anthem can go to anthemcommonspirit.com.Patients also …

https://www.chieftain.com/story/news/2024/05/14/pueblos-st-mary-corwin-patients-may-see-issues-with-anthem-insurance/73632382007/

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Patients love telehealth—physicians are not so sure McKinsey

(1 days ago) WEBTo help our clients understand responses to COVID-19, McKinsey launched a research effort to gather insights from physicians into how the pandemic is affecting …

https://www.mckinsey.com/industries/healthcare/our-insights/patients-love-telehealth-physicians-are-not-so-sure

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Medicare Advantage Reimbursement Form - Horizon Blue …

(5 days ago) WEBMail this Medicare Advantage Reimbursement Form AND attach your original receipt(s) to: Horizon Blue Cross Blue Shield of New Jersey PO Box 1609 Newark, New Jersey …

https://medicare.horizonblue.com/securecms-document/430/Generic%20MA%20Reimbursement%20Form.pdf

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Personalities of Pittsburgh: Dr. Natalie Gentile, Direct Care

(6 days ago) WEBABOUT DR. NATALIE GENTILE: Title: Founder, Direct Care Physicians of Pittsburgh and Rebel Wellness Age: 35 Education: B.S. biology, Saint Vincent College; …

https://www.bizjournals.com/pittsburgh/news/2024/05/13/personalities-of-pittsburgh-dr-natalie-gentile.html

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Medicare Trustees warn of low physician payment Healthcare …

(7 days ago) WEBPhysicians saw a 2% cut in Medicare payments in 2023 and close to 2% in 2024, according to the AMA. When adjusted for inflation in practice costs, physician pay …

https://www.healthcarefinancenews.com/news/medicare-trustees-warn-low-physician-payment

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2024 Maternal Mental Health State Report Cards Released

(4 days ago) WEBWASHINGTON (May 14, 2024) — Maternal mental health disorders, like postpartum depression, affect roughly 600,000 (20%) of U.S. mothers a year. Though no …

https://publichealth.gwu.edu/2024-maternal-mental-health-state-report-cards-released

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What Home-Based Care Providers Need To Do To Comply With …

(5 days ago) WEBSpecifically, the salary threshold will rise to the equivalent of an annual salary of $43,888, and will increase to $58,656 on Jan. 1. Currently, the annual salary …

https://homehealthcarenews.com/2024/05/what-home-based-care-providers-need-to-do-to-comply-with-dols-overtime-rule/

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