Reimbursement
CMS levies reimbursement penalties against hospitals that underperform on 30-day readmission rates, leaving for-profit hospitals at a disadvantage.
Payers and providers can track, in real time, the status of claims submissions and remittances.
AHA joins other 340B stakeholders in asking the court to declare the delay unlawful and to enact the regulation.
ACO MSSP generated savings of $1.84 billion from 2013 to 2015, nearly double the $954 million estimated by CMS, according to NAACOS.
Two new reports find payers expanding their footprint in the Affordable Care Act marketplace with some reducing costs.
Ruling throws out 2014 rule, leading to question of how CMS will determine whether it has overpaid an MA insurer.
The insurer says it is owed $5 million in payments mandated under the Affordable Care Act.
The total spend increase for CRM devices is 8 percent, which translates to a $400 million estimated cost increase for hospitals.
Judge to decide whether loss of individual mandate is tied to keeping essential benefits for those with pre-existing conditions.
The analysis, done for PhRMA, found that 320 hospitals marked up some medicine prices more than 1,000 percent.