Key points to know in recently proposed rules for Medicare Advantage and the ACA marketplaces
A proposed rule for health plans in Medicare Advantage has provisions designed to stem overreach in prior authorization processes.
Seeking to phase out Medicare DSH payments, MedPAC outlines potential changes to reimbursement for safety net providers
Revamped formulas for hospitals and physicians would be designed to better target payments to providers that treat larger shares of low-income Medicare beneficiaries.
New federal rule aims to eventually ease prior authorization processes
CMS is seeking to improve the prior authorization process in government programs such as Medicare Advantage (MA) and Medicaid, although the core provisions would not begin until 2026. The agency this week updated a Trump administration proposed rule with new proposals to “improve patient and provider access to health information and streamline processes related to prior authorization…
CareCredit healthcare credit card provides flexible payment options for both patients and healthcare providers
Read about one company's payment solution that gives patients a way to pay for out-of-pocket healthcare costs while enabling health care organizations to receive payment for services within two business days.
Three opportunities to improve the patient experience — before the patient steps in the door
Providing a positive patient experience requires attention at every encounter. With today’s staffing shortages, however, this can be challenging.
Revenue cycle automation helps health systems regain financial footing during COVID-19 and beyond
Bots and other forms of automation are helping hospitals keep up with the revenue cycle at a time when resources are limited.
PMMC’s Estimator PRO increases pricing transparency and upfront collections
Looking to invest in software? One company uses a patient estimation system, which has resulted in enhanced productivity for more than 500 hospitals with an average 10 to 1 ROI.
Health Services Financing helps providers offer all patients a touchless financing program
One company uses its patient financing program to address patient access to care and the rising cost of healthcare, two of healthcare’s biggest challenges.
TransUnion Medicare DSH solution helps hospitals identify reimbursement opportunities
Medicare disproportionate share hospital payments payments help serve low-income populations, but comes with a set of challenges such as identifying eligible patients. See one company’s solution by leveraging unique processing and data integration.
Delivering scalable, patient-focused revenue cycle management services
A revenue cycle management company talks about the importance of experience, versatility, and customer service when responding to current and emerging revenue cycle challenges.