Negotiating contracts with commercial payers is one of the most challenging and fatiguing aspects of an ASC administrator’s role. But there are core strategies administrators should consider when sitting at the table with insurers, including arming one…
Payers UnitedHealth, Anthem and Cigna are some of the largest insurers by membership.
Healthcare providers have been pushing for prior authorization reform this year, and many states are passing legislation to remove prior authorization requirements.
CMS’ plan to cut physician pay by 4.42 percent in its Medicare physician fee schedule proposal is leaving many physicians worried about healthcare becoming more impersonal.
ASCs are looking to value-based care as the industry pivots to support bundled payment models.
UnitedHealth Group, the nation’s largest operator of Medicare Advantage plans, acquired Texas Medicare insurer KS Plan Administrators, the Star Tribune reported Aug. 16.
A Miami physician has been sentenced to federal prison for committing a $38 million healthcare fraud scheme scheme, the Justice Department reported Aug. 3.
Four states and Washington, D.C., have recently updated their governance of agreements that prohibit employees from competing with businesses directly for a specific duration of time after their employment has ended, according to a Aug. 2 report from t…
The Jackson (Tenn.) Clinic, one of Tennessee’s largest independent physician groups, has adopted a value-based care model, the group said Aug. 2.
CMS plans to boost acute care hospital pay 4.3 percent next year, as long as the hospitals comply with quality data reporting.
