Access to Care Archives

September 13, 2024
Blog, Healthcare News, Revenue Cycle Management
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Proposed Medicare Payment Policies for 2025

The United States Department of Health and Human Services (HHS) and Centers for Medicare and Medicaid Services (CMS) have proposed new 2025 Medicare payment policies for hospitals and ambulatory surgical centers (ASCs) that aim to increase access to care and advance health equity. These policies are outlined in the 2025 Hospital Outpatient Prospective Payment System […]

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OIG Report Finds High Rates Of Prior Authorization Denials In Medicaid Managed Care

In 2019, the Office of the Inspector General (OIG) for the U.S. Department of Health and Human Services (HHS) found that one in every eight prior authorization requests was denied by Medicaid managed care organizations. Dive Brief: A recent report by the HHS’ Office of the Inspector General suggests that due to high rates of […]

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February 22, 2023
Blog, Medical Billing
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Higher Bills Are Leading Americans To Delay Medical Care

Inflation and pressing household expenses are forcing some people to postpone health needs, an emerging trend that has health experts worried that conditions may only worsen. Megan Swanson has warily watched the erosion of her family’s savings as inflation chips away at a reserve for emergencies. She often postpones any regular doctor’s appointments, including her […]

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January 17, 2023
Blog, Medical Billing
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Adjusting Payments to Doctors to Improve Health Care Access

The U.S. health care system will benefit from some provisions in the federal spending plan approved in Congress and signed by President Joe Biden late last year. But more work is needed to improve Medicare’s system for reimbursing physicians. A coalition representing almost 600,000 physicians and medical students urged the 118th Congress “to address outdated […]

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Inflation Driving Financial Challenges for Consumers

Almost a third of consumers cited inflation as their top reason for being concerned about covering unexpected healthcare costs. More than 70 million adults feel unprepared to pay for healthcare costs, while health systems are facing a tight labor market and ongoing supply chain issues, highlighting the financial repercussions of inflation in the healthcare industry. […]

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Effectiveness-of-Telehealth-during-Covid-19

September 26, 2022
Blog, Healthcare IT News
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Three Common Myths About the Effectiveness of Telehealth

Three common myths about the effectiveness of telehealth are exactly that – myths, according to two new studies that examined its use during the COVID-19 pandemic. Concerns about telehealth have stymied its use nationwide, but those fears are unwarranted, said researchers at the University of Rochester Medical Center (URMC). They examined data for the first […]

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How The Affordable Care Act Impacted Small Group Coverage Trends

Small group coverage did not pursue the trends that many experts anticipated after the Affordable Care Act went into effect. From 2013 to 2020, small group coverage has maintained a fairly stable environment, researchers from the Urban Institute found. The researchers used the Medical Expenditure Panel Survey Insurance Component (MEPS-IC) in order to assess changes […]

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Medicare Patients in Metro Areas More Likely to Report Telehealth Use

Additionally, those who were younger than 75, lived in the west and had internet connectivity were more likely to use video or voice calls to interact with their physicians. Medicare beneficiaries living in metropolitan areas were more likely to report that they used telehealth services, a new study revealed. Published in the Journal of Evaluation […]

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Tag: Access to Care

Proposed Medicare Payment Policies for 2025

OIG Report Finds High Rates Of Prior Authorization Denials In Medicaid Managed Care

Higher Bills Are Leading Americans To Delay Medical Care

Adjusting Payments to Doctors to Improve Health Care Access

Inflation Driving Financial Challenges for Consumers

Three Common Myths About the Effectiveness of Telehealth

How The Affordable Care Act Impacted Small Group Coverage Trends

Medicare Patients in Metro Areas More Likely to Report Telehealth Use

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