FinanceCMS May Be Restarting ACA Risk-Adjustment Payments
A bit of potential regulation CMS sent to OMB for review suggests the agency may be tweaking its formula to...
FinanceJudge Dismisses California's Lawsuit Over Halted Cost-Sharing Payments
The plaintiffs had sought to keep their legal options open in case the White House moves to ban 'silver-loading.'
FinanceDoctors Sue Anthem Over 'Dangerous' ER Coverage Policy
The insurer implemented its policy in six states over the past year, leaving patients on the hook for bills Anthem...
FinanceMedicare Billing Overhaul to Transform E&M Documentation, Expand Telehealth
The changes were proposed Thursday with updates to the Physician Fee Schedule and Quality Payment Program for 2019.
FinanceFee-For-Service Model Least Effective for Outcomes and Costs
Momentum is building for value-based programs, with respondents expecting strong growth in the share of patients in value-based programs over...