CMS announces Medicare pay hikes for providers

Inpatient rehabilitation, inpatient psychiatric, hospice and skilled nursing facilities will get rate bumps next year.  »

CommonSpirit mired in another contract dispute with Blues plan

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.

Cigna paying members to use biosimilars draws providers ire

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.

Biden's outpatient pay rule could have mixed impact on provider competition

While hospitals could expect feds to focus more on price transparency, other outpatient pay rule initiatives could increase the care they provide.

Congress eyes bigger incentives for Medicare ACO participants

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.

COVID-19 test providers are 'gouging' insurers, AHIP says

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.

Biden to crack down on hospital price transparency violations

Hospitals that flout the price transparency rules could face thousands or millions of dollars in proposed fines.

Medicare telehealth access preserved in physician pay rule—for now

Among a slew of changes, doctors will get smaller pay rises next year as pandemic stimulus funding ends.

The Check Up: Jeb Dunkelberger of Sutter Health | Aetna

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.

State Medicaid program unlikely to give providers a raise anytime soon

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.