Regulators continue to adjust prior authorization guidelines as they try to boost high-value procedures and limit administrative burden. »
The final rule for Medicare hospital inpatient reimbursement includes a larger raise than proposed earlier this year.
The finalized rates are slightly higher than the updates proposed in March, which providers said were inadequate.
Yuvo has plans to expand beyond New York into other states, beginning next year.
Expect more contract disputes as labor and supply costs rise for providers, and payers look to curb premiums.
The agreement comes six months after the Mayo Clinic stopped accepting appointments for out-of-network patients.
The agency also asks for more information on how to measure home dialysis quality.
CMS proposed raising inpatient reimbursement 3.2% next year, which hospital groups say doesn't account for rising costs.
If a screening returns an abnormal result and a healthcare provider orders more testing to figure out what’s wrong, patients may be on the hook for hundreds or even thousands of dollars for diagnostic services.
Labs earn at least $10 in profit per PCR test and that expense is likely borne by health insurance policyholders and taxpayers.
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