How much is a MyChart message worth? It's complicated

Doctors say they need to be paid for their time spent sending patient messages through portals such as Epic Systems' MyChart. But payers and patient advocates worry about the impact such charges would have on access and overall costs.  »

ESRD providers to receive pay boost in 2023

CMS also laid out a plan for quality improvement among its programs for individuals with end-stage renal disease. 

Kroger, Express Scripts mired in contract dispute

If Kroger and Cigna's Express Scripts fail to reach an agreement by Dec. 31, most of Express Scripts' commercial customers will be unable to fill prescriptions at the grocery chain's pharmacies.

HHS offers limited supply of COVID-19 treatment for uninsured

Other federal programs to support uninsured people with COVID-19 have lapsed as funding ran out.

Providers urge CMS to change policy for split visit payment

CMS delayed its billing policy for visits provided by both a physician and non-physician provider, but the move could lead to a 15% pay cut for certain visits if the agency doesn't make changes, provider groups warn.

End of federal support means big COVID-19 costs for insurers

Once the federal supply of coronavirus vaccines and treatments runs out, health insurers, employers and pharmacy benefit managers must start negotiating with drug manufacturers over prices.

'Not so optimistic:' Surprise billing arbitrations cause frustration

Mediators have decided just 1,200 out of 46,000 claims submitted to the federal portal. 

CMS removes prior authorization for select orthopedic devices

Regulators continue to adjust prior authorization guidelines as they try to boost high-value procedures and limit administrative burden.

Inpatient hospitals get 4.3% Medicare reimbursement bump

The final rule for Medicare hospital inpatient reimbursement includes a larger raise than proposed earlier this year.

CMS hikes Medicare pay for rehab, psychiatric and hospice providers

The finalized rates are slightly higher than the updates proposed in March, which providers said were inadequate.