Reimbursement

Oct 5, 2021
Anthem, the country’s second-biggest health insurance company, is behind on billions of dollars in payments owed to hospitals and doctors because of onerous new reimbursement rules, computer problems and mishandled claims, says a Kaiser Health News article that is spotlighted in USA Today.
May 25, 2021
The mission of each and every hospital in America is to serve the health care needs of the people in its community 24 hours a day, seven days a week. But, hospitals’ work is made more difficult by our fragmented health care system — a system that leaves millions of people unable to afford the…
Mar 17, 2021
This video includes an AHA Virtual Advocacy Day presentation on legislation to secure the extension of the Medicare sequestration moratorium set to expire on April 1, 2021.
Jan 26, 2021
A complicated set of factors involving governmental and private-sector spending on health care will bring about significant changes over the next several years that will effectively flatten reimbursement levels, even as demand for services is expected to keep growing. While that’s generally bad…
Nov 23, 2020
The Centers for Medicare & Medicaid Services (CMS) Nov. 20 released an interim final rule implementing the Most Favored Nation (MFN) Model, a new payment model through the Center for Medicare and Medicaid Innovation (CMMI) that will cut Medicare Part B payments for certain drugs to the lowest…
Sep 18, 2020
It is unfortunate that RAND continues to make broad claims about pricing based on a cherry-picked and limited data set.