Payers and health plan sponsors are pushing hard to contain costs. Negotiations with providers are becoming more difficult and low reimbursement coupled with the rising costs of doing business will continue to plague ASCs.
ASC Coding, Billing & Collections
DirectPath and CEB released the 2016 Medical Plan Trends and Observation Report with data from more than 750 employee benefit health plans.
Many employers are seeking ways to limit rising health benefit costs, based on an Arlington, Va.-based Corporate Executive Board and Birmingham, Ala.-based DirectPath report, according to Business Insurance.
The Government Accountability Office cannot fully calculate the amount of Medicare and Medicaid fraud, as it is difficult to detect, according to The Daily Caller.
Georgia state legislators are considering a budget which would add $26 million into the Medicaid budget for physician pay raises, according to Gwinnett Daily Post.
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Oregonians will receive two new tax forms this year, according to The Bulletin.
Indiana is the latest state to join a lawsuit challenging the Affordable Care Act's Health Insurance Providers Free, according to Legal Newsline.com.
A South Carolina man will serve an 82-month prison sentence for his part in a health insurance scheme, according to abc 4 news.
Ambulatory surgery center owners and administrators depend on payer contract negotiations to stay in business, but navigating those negotiations isn't always smooth sailing.
Many of the U.S. Blue Cross and Blue Shield plans have taken a huge financial hit, with many plans losing hundreds of millions of dollars on ACA policies, according to Forbes.