Profits from CSR Payments Examined by Judges
On Thursday, judges from the U.S. Court of Appeals for the Federal Circuit raised their concerns that insurers were overly compensated from the subsidies received from the government is giving them, [...]
Stark Law Changes Supported by Physicians, Hospitals
The Centers for Medicare and Medicaid Services (CMS) are pushing to change Stark law statutes to facilitate providers to be in value-based contracts without the concern of being blamed for [...]
Surprise Billing Legislation Omitted from Year-End Spending Deal
After months of debate over surprise billing and how to protect patients from out-of-network charges, lawmakers were not able to come to a compromise on the surprise billing proposal, failing [...]
Spending Bill Repeals ACA Taxes
On Thursday, the U.S. Senate passed a spending bill that repeals three ACA taxes as well as postpones Medicaid payment cuts. The spending bill was voted for approval 71 - [...]
Risk Corridor Payments Brought to Supreme Court
On Tuesday, the United States Supreme Court heard a lawsuit pertaining to unpaid risk corridor payments ranging from 2014 to 2016. Risk corridor payments are a component of the Affordable [...]
ACA Enrollment Growing, Stays Lower than Last Year’s Signups
According to the statistics from the Centers for Medicare and Medicaid Services, open enrollment signups is still growing, but is not as substantial as previous years' enrollment. Currently, it is [...]
Hospital-Physician Consolidation Hurting Medicare Beneficiaries
According to a recent federal research study, Medicare beneficiaries are feeling the cost burden that is resulting from the consolidation of hospital systems and independent physician practices. These enrollees are [...]
2020 ACA Exchange Plans Premiums Decline 4%
Health insurance plans in the Affordable Care Act (ACA) exchange will experience a decline in premiums in 2020 although the health insurance marketplace will offer more plan choices. This will [...]
CMS Achieved $739 Million in Savings from Medicare ACOs
The Centers for Medicare and Medicaid Services have reported savings from their Medicare Shared Savings Program. According to new agency data, the CMS has retained a savings amount totaling $739.4 [...]