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By Mallory Hackett | 11:16 am | December 18, 2020
The new opportunity will test how financial risk-sharing can reduce Medicare expenditures while preserving the quality of care for beneficiaries.  
By Mallory Hackett | 04:28 pm | November 25, 2020
 In a recently announced merger with the larger Intermountain system, CEO Kelby Krabbenhoft was to serve as president emeritus.  
By Mallory Hackett | 05:28 pm | November 24, 2020
Risk adjustment data validation ensures payment integrity and accuracy – and it affects what plans are paid.
By Susan Morse | 04:35 pm | November 17, 2020
Benefit design would lessen impact of high-deductible plans, AMA says.
By Mallory Hackett | 04:54 pm | November 10, 2020
The rule seeks to reduce federal regulatory barriers, support adaptability and promote transparency and innovation.
By Mallory Hackett | 05:11 pm | November 04, 2020
When health systems have their staff manage revenue cycles, up to 25% of the day can be spent on repetitive tasks related to the revenue process.
By Mallory Hackett | 05:23 pm | October 29, 2020
FAIR Health attributes the increase in telehealth utilization to the pandemic, which forced nonemergency procedures to come to a halt in March.
By Susan Morse | 11:59 am | October 14, 2020
When Medicare open enrollment starts tomorrow, 2021 is expected to be the largest enrollment year for UHC's Medicare Advantage plans.
By Susan Morse | 10:54 am | October 13, 2020
Affordable Care Act medical loss ratio rebates in 2021 will likely be exceptionally large across commercial markets. 
04:52 pm | September 30, 2020
Communication between consumers and payers needs to be seamless, and all need to have access to the same health plan information, Zipari CEO says.