News
Major insurers running billions of dollars behind on payments to hospitals and doctors
October 8, 2021
Substantial payment delays can be seen on Anthem’s books. On June 30, 2019, before the pandemic, 43% of the insurer’s medical bills for that quarter were unpaid, according to regulatory filings.
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Opinion
Hospitalist Medicare payments are at risk for large cuts in 2021
- Ron Greeno, MD, FCCP, MHM
November 11, 2020
Medicare has proposed changes that would create unprecedented financial hardship for hospital medicine groups.
News
CMS hikes telephone visit payments during pandemic
May 1, 2020
Physician groups praised the move to increase payments for telephone visits.
News
CMS suspends advance payment program to clinicians for COVID-19 relief
April 28, 2020
On April 26, the agency said it will not accept new applications for the advanced Medicare payment, and it will be reevaluating all pending and new applications.
News
CMS proposes improved E/M payments, additional price transparency for hospitals
July 29, 2019
The Medicare Outpatient Prospective Payment System proposed rule for the 2020 annual update would require hospitals to publish the negotiated price by specific payer for select services that patients can schedule in advance.
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News
CMS proposes site-neutral payments for hospital outpatient setting
July 26, 2018
Site-neutral payments could save the government – and patients – money on every visit.
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News
CMS considers expanding telemedicine payments
July 17, 2018
The proposed rule would pay doctors for an expanded number of telemedicine services and add payment for virtual check-ins by phone or other technologies.
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News
CMS launches advanced APM focused on bundled payments
January 10, 2018
The program “builds on the earlier success of bundled payment models and is an important step in the move away from fee for service.”
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News
Hospitals will feel the squeeze of DSH payment changes
December 18, 2017
The Centers for Medicare and Medicaid Services has altered the formula previously used to determine disproportionate share payments, and there will be fallout for hospitals.
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News
Conway says health care payment, quality reform to continue
May 3, 2017
Health care will continue its trajectory to higher value, lower costs, and improved quality for patients, keynote speaker Dr. Patrick Conway said Wednesday.