Payers
Payer-provider contract negotiations are getting nasty amid rising denials, expenses
Mercy Health, Trinity, and UF Health are the latest hospital systems to hit breaking points with insurers over contracts and reimbursement disputes.
Payments
Payers
The Value in Health Care Act aims to incentivize providers to participate in value-based care models
The legislation, introduced in July, makes several key changes to Medicare’s Alternative Payment Models program.
Payers
Fee-for-service vs. value-based care, explained
The healthcare industry has been shifting away from fee-for-service toward value-based care for more than a decade in an effort to improve health outcomes and cut costs.
Payers
New Medicare designation could save vulnerable rural hospitals
Over 40% of rural hospitals in the country report negative operating margins.
Payers
How the resumption of Medicaid redeterminations could affect enrollment
A pandemic-era rule barred states from kicking people off Medicaid. That’s about to change.
Payers
Medicare Advantage star ratings take hit after pandemic
Why fewer plans got four- and five-star ratings in 2023.
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