by Jordana Choucair | Jan 3, 2023 | Payers
The Centers for Medicare & Medicaid Services (CMS) released data showing that insurers and providers are overwhelming an arbitration system intended to resolve billing disputes. The system, established under the No Surprise Act, went into effect earlier this year...
by Jordana Choucair | Jan 3, 2023 | Payers
Consumers are increasingly using “buy now, pay later” financing options to pay for health care services. A report from the Consumer Financial Protection Bureau found that the loans for health services and products increased from $10 million in 2019 to $230 million in...
by Jordana Choucair | Dec 20, 2022 | Payers
The U.S. Department Health and Human Services (HHS) Office of the Inspector General (OIG) released a report revealing that Medicare Part B spending on lab tests surged last year to $9.3 billion. The 17 percent increase was driven by higher volumes of COVID-19 tests...
by Jordana Choucair | Dec 16, 2022 | Payers
Blue Cross Blue Shield of Massachusetts announced new value-based agreements with the state’s largest health systems to link financial incentives to equity improvements. Collectively, the four health systems – Steward Healthcare Network, Beth Israel Lahey Health, Mass...
by Jordana Choucair | Dec 15, 2022 | Payers
New data from the Centers for Medicare & Medicaid Services (CMS) show that national health care spending grew by 2.7 percent to $4.3 trillion in 2021. Annual spending growth slowed last year compared with a 10.3 percent increase in 2020 when the federal government...
by Jordana Choucair | Dec 15, 2022 | Payers
CMS released a proposed rule to improve prior authorization processes for Medicare Advantage (MA) and implement the Inflation Reduction Act’s drug price provisions. The rule clarifies when and how MA plans can use prior authorization and that once approved, the prior...
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