AHIP wants reimbursement based on market rates determined by contracted amounts paid by insurers to similar doctors in a geographic area.
Category: Health Insurance
Surprise! Fixing Out-Of-Network Bills Means Someone Must Pay
Despite the broad agreement on the need to address surprise bills, insurers and health care providers oppose the other side’s preferred solutions.
With telehealth still evolving as a care delivery model, text-based care may offer the best quality for some patients
Tapping into asynchronous, text-based communication could let providers cast a wider net and improve care quality.
Podcast: KHN’s ‘What The Health?’ ‘Conscience’ Rules, Rx Prices and Still More Medicare
Joanne Kenen of Politico, Jen Haberkorn of the Los Angeles Times and Alice Miranda Ollstein of Politico join KHN’s Julie Rovner to discuss the latest news about the Trump administration’s effort to allow health care practitioners and organizations to refuse to provide care or refer patients for services that violate their conscience or religion. Also this week, the administration orders TV ads for prescription drugs to include list prices. And Tennessee wants free rein from the federal government to run its Medicaid program. Plus, Rovner interviews Joan Biskupic, author of a new book on Chief Justice John Roberts, about the behind-the-scenes negotiations that led to the 2012 ruling upholding the constitutionality of the Affordable Care Act.
Market Muscle: Study Uncovers Differences Between Medicare And Private Insurers
Findings released Thursday by the Rand Corp. highlight how reimbursement rates vary nationally and the impact the charges have on the nation’s high cost of health care.
Medicare for all doesn’t look like single payer in the rest of the world
Recent polls show a majority of Americans support Medicare for all, but few seem to realize that no other system in the world operates like the current single payer proposals in Congress. Recently, I addressed the concept of single-payer health care, w…
Astria Health blames revenue cycle contractor for bankruptcy
Operations continue, wages are unaffected and none of the health system’s three hospitals or other care centers will close, Astria says.
Patients of Medicare providers committing fraud or abuse more likely to be poor, disabled
Fraudulent medical practice is estimated to cost the federal government between $90 to $300 billion dollars annually.
UnitedHealthcare introduces new bundled payment program for maternity care
Resources provided by Optum include an expectant mother app that has a ‘kick counter’ and is free to women enrolled in UnitedHealthcare’s employer-sponsored plans.
Acadia Healthcare to pay $17 million in settlement of Medicare fraud case
Medicaid paid Acadia’s facilities a much higher amount for blood and urine tests than its lab had charged for the analysis.
