The Centers for Medicare and Medicaid Services announced a change in how the codes should be used starting next year.
Providers and insurers agree bundled payments for prenatal care, delivery and postpartum care lower costs and boost quality, but squaring away payment terms has proven more tricky.
Physician groups can submit extreme hardship applications to have 2021 quality and cost data re-weighted to account for the COVID-19 pandemic.
Providers, patient advocates and some lawmakers are taking aim at health insurers, arguing that low payments and restrictions on coverage limit access.
The new ACO model will incorporate health equity requirements, make changes to risk adjustment policies and more.
Federal watchdogs say Medicare may be paying twice for hospice services, and for-profit hospices play a large role.
Florida failed for nearly three months to pay tens of thousands of healthcare claims due to software glitches blamed on the corporate merger of its two largest payment vendors, officials and executives said.
By 2023, half of all Medicare beneficiaries are expected to be enrolled in a Medicare Advantage plan. This shift has already been realized in Minnesota.
Only about $7 billion remains to reimburse providers that treated, tested and vaccinated uninsured COVID-19 patients.
Medicare Advantage plans could see a nearly 8% increase in revenue, but the methodology could consider health equity issues in the future.
Modern Healthcare is solely responsible for the editorial content of the Transformation Hub and submission is open to all organizations.