Medical providers receiving higher amounts of industry payments tend to bill higher drug and medical costs.
Category: Healthcare Finance News
Few Medicare Advantage insurers use new benefit flexibility to address the social determinants of health
Plans are hampered by current CMS policy and provider coding that often does not reflect social needs, Urban Institute report says.
Cerner partners with Simplee on price transparency
It will add Simplee’s financial engagement platform to its revenue cycle portfolio and incorporate its billing tools into its consumer-facing technology.
Medications underused in treating opioid addiction, says Mayo Clinic
Along with addiction counseling, the drugs naltrexone, buprenorphine and methadone all have a place in treatment for opioid use disorder.
Inaccuracies found in physician residents’ EHR documentation
There were noteworthy differences between what physicians recorded in their EHRs vs. what observers witnessed in clinical encounters.
Cigna expands Affordable Care Act plans in 19 markets across 10 states
The expansion into the ACA for Cigna and other insurers comes at a time when CMS reports declining unsubsidized enrollment.
Pelosi drug bill would give HHS Secretary Alex Azar authority to negotiate prices on 25 drugs
The maximum price that could be set is 1.2 times the average international market price.
Majority of hospitals, physician practices screen patients for at least one SDOH, Dartmouth study finds
The pressure on physicians and hospitals to address social determinants will likely increase, as they’ve been a focus of payers and providers.
Focus on operational efficiency and RTLS technology has given Wake Forest Baptist Health a financial leg up
Real-time tracking technologies allow the organization to monitor everything from patients to medical equipment.
Providers and billing departments face possible communications gap
Technology can improve internal communications to maximize reimbursement and avoid billing errors.
