By Victoria Bailey, Xtelligent Feature 02 Nov 2023 Getty Images How Public, Private Payers Cover Care for the LGBTQ+ Population Healthcare coverage for the LGBTQ+ population differs depending on a member’s state, health plan, and service needed. Continue Reading By Victoria Bailey, Xtelli...
Changes in the shares of dually eligible enrollees with Medicaid OTP claims around the initiation of Medicare OTP coverage allow us to quantify potential substitution between payers. This study was approved by the Harvard Medical School institutional review board. Informed consent was not required ...
(11) The MMSEA accomplishes these savings by shifting the onerous burden to primary payers to timely report payments when made to beneficiaries and/or their counsel. Failure to timely report payments exposes primary payers to substantial noncompliance penalties ($1,000 a day) if there is a ...
and cost savings to public and private payers of care, including Medicare and Medicaid.CONCLUSION: The growing number of older people in the United States... MD Catherine Eng,MD James Pedulla,GP Eleazer,... - 《Journal of the American Geriatrics Society》 被引量: 441发表: 1997年 The Price...
mandatory. The details of what would constitute a full penalty, diminished penalty and/or safe harbor from Civil Monetary Penalties have not been promulgated by the Agency until now. As of this date, no penalties have been assessed against NGHP primary payers. Having a rule in place could ...
set up state- and federally-run health insurance exchanges where consumers can find regulated plans offered by private payers. Plans on these marketplaces must comply with certain standards regarding benefits, but these plans are still considered private because they are not funded by the government....
We’ll explore whether Medicare Advantage plans can be secondary payers. Understanding Medicare as a secondary payer When you have two types of health insurance – for example, aMedicare Advantageplan and an employer plan – generally one will be the primary payer and the other will be the seco...
‘Fighting for a Rate Floor’: Stagnant Medicare Advantage Rates Force Nursing Homes to Shift Payers ByAmy Stulick|June 14, 2024 Operators have been opting for different payer sources other than Medicare Advantage plans given its persistent challenges. Medicare Advantage’s lower reimbursement rates ...
As Medicare Advantage (MA) payers continue to be buffeted by regulatory and market changes that could dampen margins, payer leaders should not lose sight of the importance of investing now to stabilize their businesses for the long run. A critical area of focus for leaders should be the Medica...
Podcast — Drug Pricing: How Are Payers Responding to the IRA? Findings from Gibbins’ Annual Healthcare Bankruptcy Report A Fond Farewell: Musings on the End of the Medicare Advantage Hospice Carve-In Demonstration Video: Braidwood v. Becerra – Challenging the Affordable Care Act’s Preventive ...