States have increasingly outsourced the provision of Medicaid services to private managed care plans. To ensure that plans maintain access to care, many states set network adequacy standards that ...

Susan Charkin, MPH, president of Healthcents, an ASC and physician specialty hospital contracting and consulting group, offers the following three reminders for ASCs negotiating contracts. 1. Carve ...

Ken Bulow, COO of GENASCIS, identifies 10 key provisions and terms to look for in your surgery center’s managed care contracts and offers recommendations for what you should expect under these terms.

The Medicare program is broken down into four parts. Part A covers the cost of healthcare items and services provided during inpatient hospital stays as well as skilled nursing facility, hospice, and ...

Revenue cycle management performance has never been more important. And recent advances in technology, particularly artificial intelligence, offer much potential for healthcare's administrative ...

WESTERVILLE, Ohio--(BUSINESS WIRE)--agilon health (NYSE: AGL), the trusted partner empowering physicians to transform health care in our communities, today announced the publication of new ...

A new bipartisan Senate bill aims to extend for two years a 5% bonus to doctors who participate in alternative payment models, with lawmakers having little time to get it through Congress before the ...

Gov. Ned Lamont's administration put forth proposals designing to lower the cost of health care in 2022. Some succeeded, while others failed. Credit: MARK PAZNIOKAS / CT MIRROR CT Mirror’s independent ...

Let’s not kid ourselves. Becoming a physician today requires more than altruism. It requires courage. Thanks to the shift from fee-for-service care to third-party insurance, caring for patients has ...

North Carolina Medicaid managed care has finally been extended to Medicaid enrollees who also need services for behavioral health or intellectual or developmental disabilities. More than 210,000 ...