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6 health insurance company updates in March
From Medicaid work requirements to joint ventures, here are six updates from top health insurers in March: -
Largest health insurers by state
Nearly 11.5 million people purchased health insurance in 2020 through a state marketplace, also known as individual health insurance, according to ValuePenguin, a resource for consumer financial decisions. -
What's happening with the 2% Medicare pay cut & more from Washington, DC
Healthcare is front of mind for lawmakers and government agencies on Capitol Hill as a new bill extending the moratorium on Medicare pay cuts makes its way through Congress and HHS aims to expand access to the COVID-19 vaccine. -
How ASCs are preparing for spike in CMS approvals
Jamie Heater, RN, Compass Surgical Partners' vice president of facility development, and Will Holding, Compass' vice president of development, joined the "Becker's Spine & Orthopedics Podcast" to outline how Compass is preparing for the increase in CMS procedure approval. -
5 largest health insurance companies by membership
UnitedHealthcare is the largest insurer in the U.S., according to a March 2021 Value Penguin report. -
How ASCs can improve documentation accuracy to protect revenue
Incomplete and inaccurate documentation can hinder appropriate and timely reimbursement, placing an ASC's financial stability at risk. -
Spinal fusion 'picking up steam' at ASCs: 2 leaders discuss practice growth
During Becker's Orthopedic, Spine + ASC Virtual Event on March 18, two industry leaders discussed the migration of spine and orthopedic procedures to surgery centers and how they are looking at growth in 2021. -
Ophthalmology, GI among 5 largest CMS spending drops during early days of pandemic
A new report from the American Medical Association lists ophthalmology and gastroenterology in the top five largest drops in CMS physician spending during the early months of the COVID-19 pandemic. -
CMS approves ASCs as site of service for a symptomatic uterine fibroid procedure
CMS has approved ASCs as a site of service for transcervical uterine fibroid ablation — a minimally invasive procedure for symptomatic uterine fibroids that can be performed with the Sonata System developed by women's healthcare company Gynesonics. -
Bundled payments in ASCs: Good business or a race to the bottom?
ASCs play an important role in the value-based care environment and more are considering bundled payments as part of their strategy. -
MedPAC to Congress: Eliminate ASC pay update for 2022
The Medicare Payment Advisory Commission, an independent congressional agency advising Congress on Medicare-related issues, recommended several changes for ASCs next year in its annual report to Congress, released March 15. -
20 states that spend the most, least on Medicaid: WalletHub
WalletHub released its "2021's States with the Most and Least Medicaid Coverage" list March 15, analyzing Medicaid coverage and spending across the U.S. -
Healthcare Credit Checks Benefit Patients and Providers Alike — So What’s the Controversy?
When a patient checks in to see a new healthcare provider, there is the inevitable package of new patient paperwork. Along with the patient health history forms and HIPPA disclosures, there may also be a financial policy. -
Medicare spending on ASCs dropped 90% last April & 4 more notes
Physician-owned ASCs and practices reported revenue declines in 2020 and lower Medicare spending when elective procedures were canceled or postponed during the pandemic. Revenue declines continued after elected procedures resumed at facilities across the U.S. -
Medicare pay up for 10 most common ASC procedures in 2021
Medicare reimbursement for the 10 highest-volume procedures performed in ASCs is projected to increase 2.8 percent this year, according to a report from VMG Health. -
Houston physician, 3 others charged with billing fraud; Tulane reverses suspension of residency director & more
Four recent stories about physicians: -
The business of orthopedics: Strategies to maximize revenue
Nearly all ASCs suffered a loss when elective surgeries paused in the spring of 2020. ASCs with highly functioning business operations have not only overcome those losses, but will benefit from a rebounding and growing market. ASCs with orthopedics have the advantage of offering one of the most financially desirable specialties. -
2 physicians indicted in opioid scheme linked to 6 patient overdose deaths
A federal grand jury in Kentucky charged two surgeons this week with illegal opioid distribution, healthcare fraud and healthcare fraud conspiracy. -
CMS, commercial payers pushing procedures to ASCs
CMS and commercial payers are adopting new policies that push providers and patients out of the hospital and into surgery centers, The National Law Review reported Feb. 24. -
Biden's pick for CMS chief & 3 more notes
Four updates on CMS:
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