The CMS released its interim final rule on surprise medical billing, introducing a process whereby payers and providers could negotiate payments...Read More »
Those working in healthcare should not expect many more fully risk-based payment models from the Center for Medicare and Medicaid Innovation (CMMI...Read More »
Twenty Medicare Advantage (MA) organizations (12%) shown to have disproportionally high payments, were reportedly responsible for more than half...Read More »
Sicker patients, fewer outpatient visits, and higher expenses for labor, drugs, and supplies will continue to damage the financial health of...Read More »
Hospital price transparency rules and penalties don't go far enough to actually control costs, according to an expert panel assembled by the...Read More »
Independent Health and DxID violated the False Claims Act by submitting inaccurate information about Medicare Advantage plan beneficiaries’ health...Read More »
