CommonSpirit Health's CHI Memorial Health Care System and Blue Cross and Blue Shield Tennessee's dispute could leave at least 38,000 patients out of network.
As more biosimilar medications enter the market, other payers are watching Cigna's $500 offer and may introduce similar enticements if enough of the insurer's members switch.
While hospitals could expect feds to focus more on price transparency, other outpatient pay rule initiatives could increase the care they provide.
A bipartisan bill would undo a Trump-era policy providers say made ACOs less appealing and give participants a bigger share of savings they achieve.
Out-of-network providers charge higher prices for COVID-19 testing and are performing a growing share of tests billed to commercial insurers, according to the insurance trade group.
Hospitals that flout the price transparency rules could face thousands or millions of dollars in proposed fines.
Among a slew of changes, doctors will get smaller pay rises next year as pandemic stimulus funding ends.
Jeb Dunkelberger, CEO of Sutter Health | Aetna, joins the Check Up to discuss how payers and providers can find new ways of partnering and collaborating around patient care.
Big changes in Medicaid payments to providers and managed-care plans aren't likely this year as state budgets recover, Medicaid rolls shrink and the U.S. economy sheds its pandemic woes.
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