Topics

Reimbursement

The Capitol at night
Dec 21 | Susan Morse
Stripped out of the final bill is a provision to prevent the 2.8% Medicare pay cut to physicians.
Senior and younger caregiver looking out a window
Dec 18 | Jeff Lagasse
Higher-than-expected utilization and low reimbursement have challenged the program in 2024.
Handshake
Dec 05 | Jeff Lagasse
Effectively immediately the company has assigned a new chief pharmacy officer and new head of Pharmacy and Consumer Wellness.
Staffer in front of a bank of computers
Dec 03 | Susan Morse
GenAI is expected to streamline documentation for appeals, providing faster reimbursement.
Lady Justice holding her scales
Dec 02 | Jeff Lagasse
Aftab Hussain and his associates were found to have paid illegal kickbacks to patients to ensure they would use certain…
UnitedHealthcare building
Nov 26 | Susan Morse
CMS is ordered to recalculate the star ratings without consideration of a "secret shopper" call that framed the dispute.
Capitol building
Nov 25 | Susan Morse
With three weeks remaining in the legislative calendar, 41 senators have signed a letter to Senate leaders.
Dr. Sreekanth Chaguturu is the new president of Health Care Delivery, as well as EVP and CMO.
Nov 21 | Susan Morse
Mike Pykosz, who has served in that role and confounded Oak Street Health, is leaving CVS.
Doctor in hallway
Nov 19 | Susan Morse
The complaint claims the scheme was aimed at suppressing payment rates to doctors for out-of-network services.
Employee at computer
Nov 14 | Susan Morse
Most CFOs are not looking to technology or AI as a solution, says new HFMA report.

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