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Reimbursement

By Susan Morse | 11:47 am | October 28, 2016
Federal spending would rise by $47 billion over the next 10 years if tax credits make up difference for insurer cost-sharing, court filing says.
By Kaiser Health News | 10:25 am | October 28, 2016
Only about a third of plans available are silver, another third are bronze offering 60 percent coverage, 25 percent are gold or platinum plans offering 90 percent.
By Kaiser Health News | 09:55 am | October 28, 2016
Insurers can transfer customers who have purchased policies through an ACA insurance exchange, other commercial plans when they become eligible.
By Jeff Lagasse | 03:56 pm | October 27, 2016
Cost savings are further bolstered by avoiding unnecessary surgeries and achieving lower rates of expensive complications.
By Susan Morse | 04:24 pm | October 26, 2016
Under model, rates paid to a given provider are set so that all third parties pay the same price for services to particular provider.
By Beth Jones Sanborn | 02:22 pm | October 25, 2016
While some states will see premiums almost double, many states will see very little change at all.
By Henry Powderly | 11:54 am | October 25, 2016
Providers that participate in an advanced payment model can earn up to 5 percent in bonuses for the 2017 performance year.
By Kaiser Health News | 10:38 am | October 25, 2016
Incorrect information was found for almost half of the 5,832 doctors listed in directories for 54 Medicare Advantage plans checked last fall.
By Susan Morse | 10:04 am | October 25, 2016
Agency said it is reviewing its policies for allowing what is called seamless enrollment after some senior citizens were surprised to learn they were enrolled.
By Susan Morse | 09:53 am | October 25, 2016
System's health plan is offering patients with chronic conditions financial incentives to self-manage their individualized care.