Tag: Healthcare Price Transparency

Price-transparency

Price Transparency and RCM: A New Era

The healthcare industry has traditionally been a black box when it comes to pricing. Patients, providers, and payers alike have often struggled to understand the complex web of costs associated with medical services. However, a seismic shift is underway. The advent of price transparency regulations and the evolving role of Revenue Cycle Management (RCM) are […]
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UHC Commercial Plan Focuses on Price Transparency and Preventive Care

Commercial Plan Prioritizes Affordable Healthcare and Preventive Measures

The emphasis on preventive care by the payer likely contributed to its high re-enrollment rate. Insurance Company’s employer-sponsored healthcare plan, compliant with the Affordable Care Act, has emerged as the fastest-growing commercial plan for the payer. Data from the payer’s Impact Study suggests that the healthcare plan company’s focus on both price transparency and preventive […]
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Payment for New COVID-19 Treatments

CMS Finalizes Additional Payment for New COVID-19 Treatments

CMS’ Fourth COVID-19 Interim Final Rule with Comment Period (IFC-4) includes additional payment for new COVID-19 treatments, price transparency requirements for COVID-19 diagnostic tests, and coverage for potential vaccines among other provisions. Most provisions of IFC-4 became effective November 2. Hospital Payment for New COVID-19 Treatments The New COVID-19 Treatments Add-on Payment (NCTAP) will provide additional Medicare […]
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2020 Healthcare Changes

How Healthcare Will Change in 2020

With an election year just about upon us, there are a number of changes coming from the current administration that are going to impact healthcare in 2020. Changes in allowable benefits, home health, hospice carve-ins, and new CPT codes for remote home monitoring are just a sample of these. There are an additional set of fundamental […]
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Trump Demands Transparency on Healthcare Costs: 7 Things To Know

President Donald Trump has signed an executive order that aims to lower healthcare costs by improving price transparency. Seven Things To Know: The order, signed June 24 at the White House, directs HHS to develop rules requiring hospitals to publish prices “that reflect what people actually pay for services in a way that’s clear, straightforward and accessible […]
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