Category: FierceHealthPayer

Noting that the Medicare proposal to reimburse physicians came “earlier than we expected,” Teladoc CEO Jason Gorevic says the administration is backing a long-term expansion of telehealth coverage.

Healthcare’s “merger mania” has led to significantly consolidated provider markets, according to a new report, which could have some major downsides for patients. 

Prime Healthcare and its CEO agreed to pay $65 million to settle allegations that 14 of its California hospitals admitted patients for inpatient care who actually required less costly outpatient care.

This time last year, Molina Healthcare had just dumped its CEO and CFO and was on its way to $512 million in losses. Now, the company has mounted a comeback, and it’s eyeing the ACA exchanges as its next target.

A year and a half after it was supposed to implement a preauthorization process for chiropractic claims, an industry with a 41.7% improper payment rate, CMS still hasn’t established that process.

Partnering with multiple telemedicine providers gives consumers additional choice, which ties directly into the company’s model, said President and CEO David Cordani.

Three weeks ahead of the vote on their planned merger, the two companies expressed far different levels of enthusiasm for rewarding value over volume.

The Centers for Medicare & Medicaid Services (CMS) has finalized a hospital payment rule that includes an additional $4.8 billion for inpatient services as well as several new requirements around price transparency and data sharing.

Enrollment in commercial plans fell below 4 million, but enrollment in Medicare products is on the rise, the company reported Thursday.

Enrollment in commercial plans fell below 4 million, but enrollment in Medicare products is on the rise, the company reported Thursday.