Reimbursement
Partnership will allow Maimonides to adopt a new EHR and access a higher Medicaid rate.
Bill too frequently and CMS gives denials and physicians find it impossible to know the right time, says Sallie Gustafson, RN, director of medical affairs at Murj.
The health system expects over $40 million in net revenue improvement on an annualized basis.
The insurer was set to limit reimbursement, starting Jan. 1, 2026, for remote physiologic services to heart failure and hypertensive disorders of pregnancy.
Making AI-driven changes adds $4 million to $6 million per 10,000 discharges each year, equaling tens of millions of dollars in additional reimbursement, says Todd Van Meter, CEO of Accuity.
All community and independent pharmacies in the Optum Rx network are transitioning to cost-based contracts.
Non-labor expense increases of 6% to 10% over the past year were driven in part by tariffs, says Kaufman Hall report.
Challenges for providers include not having enough coders, a large backlog and in general, increasing denials, says Arintra CEO Nitesh Shroff.
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09:00 am |
December 15, 2025
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09:00 am |
December 15, 2025
Finding the right third-party financing partner can help practices thrive in the face of rising costs.
The Oklahoma AG says the PBM paid pharmacies less for drugs than what the medications cost.