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Reimbursement

By Jeff Lagasse | 04:30 pm | May 21, 2020
As many as 13% predict closure within the next month, and 20% have already had temporary closures, the survey found.
By Jeff Lagasse | 01:42 pm | May 21, 2020
While volume and revenues plummeted to historic levels, expenses remained nearly flat, putting pressure on hospitals as the coronavirus spreads.
By Susan Morse | 03:25 pm | May 19, 2020
During the pandemic, health plans face a reduced ability to risk-adjust their members and close gaps in care.
By Jeff Lagasse | 11:13 am | May 15, 2020
The stimulus and emergency response funding will blunt some of the losses, but hospitals won't be fully compensated, Moody's found.
By Susan Morse | 05:22 pm | May 14, 2020
The plan is available at a lower premium than standard PPO plans, and offers a specialist referral process.
By Susan Morse | 08:44 am | May 14, 2020
Phases 2 and 3 of vaccine clinical trials are expected by early summer and their success will be known by early winter, Fauci says.
By Jeff Lagasse | 04:01 pm | May 13, 2020
Potential benefits to robust analytics and real-time reporting capabilities include more reimbursement dollars and better patient care.
By Susan Morse | 10:52 am | May 12, 2020
Proposed changes to the inpatient prospective payment system would speed approval of new technology add-on payments for antimicrobials.
By Susan Morse | 10:51 am | May 08, 2020
Insurers get a one-week extension to finalize 2021 exchange plan applications, giving them time to analyze the effect of COVID-19 in setting premiums.
By Susan Morse | 10:47 am | May 07, 2020
AHIP and HFMA expect to issue voluntary billing guidance for outpatient services soon.