Here’s what you should know:
1. The GAO reviewed 126 accountability plans. Thirty-five plans had a disproportionately high number of people dropping coverage as their illness worsened.
2. Patients most often dropped coverage because of limited access to preferred providers.
3. The government office did not name the 35 plans, but noted the plans had less than 15,000 members each and received poor scores on quality measures. In 2014, 24 plans had one out of five patients drop coverage.
4. Researchers urged federal health officials to consider transitioning beneficiaries away from the possibly “underperforming” plans.
More articles on coding, billing and collections:
5 considerations when converting vascular access centers into Medicare-certified ASCs
3 trends that could impact ASC reimbursement
Pain management in 2017: Tips for thriving despite the challenges
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.