Two years after the Physician Payment Sunshine Act, it’s still unclear how the legislation has influenced providers’ willingness to accept payments.
It looks like California lawmakers will soon decide the fate of a bill that would protect patients against surprise medical bills--a proposal that has divided…
How to complete clinical reviews within prompt pay guidelines
The AHA renewed calls for CMS to delay implementation of the site-neutral rule, citing potential compliance risks under the Stark law and Anti-Kickback statute.
White papers on improving claims processing, patient-reported outcome measures and the doctor-patient relationship are among the winners of a national…
The Obama administration released a 300 page policy sheet that aims to ease the ACA's financial burden on health insurers.
Despite room for improvement, the Affordable Care Act has strengthened Americans’ access to providers, a new literature review finds.
CBO predictions about how many people would buy health insurance plans through the ACA exchanges have so far missed the mark by about half.
The number of counties where ACA marketplaces have only one insurer is set to increase dramatically.
Dozens of government audits dating back to 2007 reveal widespread overbilling within Medicare Advantage plans, particularly for beneficiaries certain chronic…
Despite complaints about the rising costs of drugs, at least one study suggests that prescriptions have actually become more affordable in recent years.