Medicare will pay almost twice as much for high-throughput COVID-19 tests to boost testing capacity and reduce the virus' spread.
An increasing number of health insurers are supporting healthcare providers during the COVID-19 pandemic by speeding up claims payments or offering loans to bolster their finances.
The CMS announced that Medicare Advantage plans will get a 1.66% pay increase in addition to payment changes for Medicare Part D and PACE programs.
Nursing homes and advocates hope the ruling will prompt the CMS to reconsider its observation status policies.
The 2½-year-old partnership between Cleveland Clinic and insurer Oscar Health illustrates an emerging, value-based business model for the healthcare industry aimed at lowering costs and raising care quality.
Colorado lawmakers unveiled legislation that would create a public insurance option in the individual market, but hospitals are instead pushing an alternative policy.
Ochsner Health is the first system to participate in Humana's new program, which offers additional payment to providers when they screen Medicare Advantage members and connect them to relevant resources for social determinants.
The new payment model allows ambulances to transport Medicare beneficiaries to areas besides the emergency department, such as a doctor's office or urgent-care clinics.
Colorado's public-option health plan would lower premiums on the individual market by 12%, but the state's hospital association balked at the propose reimbursement rates, which have a base rate of 155% of Medicare.
The CMS Innovation Center wants to continue its bundled payment experiment for hip and knee replacements, but it wants to change the definition of an episode and how it sets prices.
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