Category: ASC Coding, Billing and Collections

Cigna's profits up 70% in Q3 and 3 more company updates

Here are four Cigna updates reported on by Becker’s since Oct. 21:

Justice Department to appeal the ruling that cleared the UnitedHealth-Change merger & 5 more updates

Here are six updates from UnitedHealthcare, one of the largest payers, since Nov. 17:

Physician pay in the last 5 years

Here’s how much physicians were paid on average over the last five years, pulled from Medscape’s physician compensation reports:
 

Are payers pushing procedures to ASCs?

Two leaders joined Becker’s to discuss whether payers are pushing procedures to ASCs and other outpatient settings. 

Payer policies nudging patients outside of hospital settings

Payers are increasingly issuing policies that push patients outside of hospital settings, according to Laren Tan, MD, chair of Loma Linda (Calif.) University Health’s department of medicine. 

3 fast facts on prior authorization

Here are three fast facts on prior authorization:

Mississippi updates ASC controlled substance distribution rules 

The Mississippi State Board of Medical Licensure and the Board of Pharmacy have issued a joint statement on its compliance rules for ASCs dispensing controlled substances, JDSupra reported Nov. 9. 

Payers putting ‘downward pressure’ on ASCs: How leaders are looking at payer behavior

ASCs have historically faced obstacles to reimbursements, and ASCs in some markets are seeing increased pressure from payers. 

Colorado uses cash incentive to drive down healthcare cost

The Colorado Purchasing Alliance created an initiative that allows employers in the state to negotiate lower prices for healthcare services through a cash incentive, the Kaiser Family Foundation reported Nov. 2.

Healthcare is seeing ”astronomical financial losses in 2022′: 3 leaders’ thoughts on revenue 

Three ASC leaders joined Becker’s to discuss the financial losses providers are seeing in 2022: