Reimbursement
Two health plans in Michigan, HealthPlus of Michigan and Health Alliance Plan, said on Monday they plan to merge, forming one of the largest plans in the state while bailing out the struggling HealthPlus business.
As the open enrollment period for health insurance through the state and federal marketplaces got underway on Sunday, consumers have questions about how the process works and how to choose the best plan to meet their needs.
By emphasizing the impact on taxpayers, supporters are framing the issue in terms of economics rather than humanitarian concerns.
The average 2016 premium for a 40-year-old in Anchorage is $719 a month - more than double the national average, according to an analysis by the Kaiser Family Foundation.
The Centers for Medicare and Medicaid Services will not change its policy regarding the two-midnight inpatient rule but will allow greater flexibility for physician judgment in cases that do not meet the two-midnight benchmark, the federal agency announced Friday.
The Centers for Medicare and Medicaid Services on Friday released final rule governing how physicians are paid, raising the total payments under the physician fee schedule by 0.5 percent and setting guidelines for its new Physician Quality Reporting Schedule.
The Centers for Medicare and Medicaid Services will pay for end-of-life services, bringing to a close a debate that started with false "death panel" claims during negotiations over the Affordable Care Act and is ending with coverage for families so they can discuss the care patients receive when they are dying.
The budget eliminates a mandate of the Affordable Care Act requiring large employers to automatically enroll new employees in health plans.
The Centers for Medicare and Medicaid Services on Thursday lowered the amount it plans to cut payments to home health agencies to $260 million compared the $350 million it proposed earlier this year.
About 10 percent of claims filed under ICD-10 have been denied since the coding vocabulary became the norm on October 1, the Centers for Medicare and Medicaid Services said on Thursday, though only a small number of those denials were due to coding errors.