Accounting & Financial Management
Denial rates have steadily increased, with providers seeing rejection rates as high as 10% to 15%.
The initiative arrives as the temporary expansion of tax credits is set to expire after 2025.
The focus will be on ensuring rural communities have access to primary care, emergency services and specialty care.
The move is part of a multiyear initiative to overhaul the system's approach to medical debt.
Fifteen percent of providers and 25% of payers report having an established AI strategy in 2024.
Payments to insurance agents incentivize them to base referrals on financial considerations, DOJ says.
This is an 8% decline following the expiration of pandemic-era policies that temporarily increased star ratings for some plans.
Accessing the funds requires a dedication of time to register and a continuing commitment for an investment longer term, says Kelly Arduino, a healthcare industry leader at Wipfli.
2025 would be the third consecutive year of health benefit cost increases above 5%, following a decade of about 3% increases.
Eighty hospitals want a reversal of a final rule that includes Medicare Advantage in payment calculations.