Health plans must modernize payments systems to keep their ...

Health plans must modernize payments systems to keep their provider base ... Retaining a robust provider base poses an ongoing challenge for ...

How a modernized payments platform can boost provider satisfaction

It should allow members to freely access information on the healthcare financial process. This will also free up time for providers struggling ...

In The Digital Era, Payment Reform Is Key To Shaping A Modern ...

Treating functions of digital products more like medical services for purposes of coverage can also allow the payment systems to better ...

Modernizing the Medicare Payment System

Medicare pays for the health care of 53 million Americans, making it the largest health payer in the U.S. The systems that process claims payments were first ...

Payments modernization 101: Key concepts to know - ACI Worldwide

Payments modernization involves upgrading or replacing legacy systems with a new architecture that drives a more efficient 24/7, real-time payment. Through ...

Payment Modernization in Healthcare Payers - Datos Insights

What I've learned, in a nutshell, is that payment modernization efforts are critical to healthcare payers as well as providers. While payers—namely health plans ...

HHS Notice of Benefit and Payment Parameters for 2026 Proposed ...

The rule proposes additional safeguards, beginning in 2025, to protect consumers from fraudulent changes to their health care coverage, as well ...

Medicare Advantage in 2024: Enrollment Update and Key Trends

... plans receive payments from CMS that are 122 ... health insurance benefits to their Medicare-eligible retirees exclusively through Medicare ...

The Unintended Consequences of Complex Healthcare Payment ...

Payers must first make an honest assessment of their current payment systems and consider whether they are truly capable of enabling success in ...

Maximizing Opportunity with 2024 Healthcare Payer Technology ...

Health plans have long known the advantages of advanced healthcare payer technology. But the usual suspects continue to block progress. Slim ...

Medicare trustees warn of payment issue's impact on access to care

CHICAGO – Echoing warnings from the American Medical Association (AMA), Medicare trustees warned today that the physician payment system has ...

7 Strategies to Modernize The Healthcare Payment Ecosystem

1. Recreate the Health Plan Algorithm · 2. Provide Real-Time Coding Assistance · 3. Engage Patients Up Front · 4. Create Interoperable, Efficient ...

As Many Hospitals Continue to Face Significant Financial ...

In it, the commission recommended its highest ever Medicare payment update for hospitals and health systems, recognizing the dire financial ...

Payment bundling - Glossary | HealthCare.gov

A payment structure in which different health care providers who are treating you for the same or related conditions are paid an overall sum for taking care ...

Aligning Payment Policies with Quality Improvement - NCBI

Thus, to achieve the aims of the 21st-century health care system set forth in Chapter 2, it is critical that payment policies be aligned to encourage and ...

Provider payment and delivery systems - MACPAC

States use a variety of methods to set rates for risk-based managed care plans but all must pay within an actuarially sound range. Many use an administrative ...

Payment Reform for Better Value and Medical Innovation

Value-based payment strives to promote the best care at the lowest cost, allowing patients to receive higher-value, higher quality care. Payment ...

RBRVS overview | American Medical Association

The resource-based relative value scale (RBRVS) is the physician payment system used by the Centers for Medicare & Medicaid Services (CMS) ...

The Affordable Care Act's Payment and Delivery System Reforms

In addition to its expansion and reform of health insurance coverage, the ACAcontains numerous provisions intended to resolve underlying ...

CY 2025 Medicare Hospital Outpatient Prospective Payment System ...

Hospitals need to be able to access a reliable supply of PPE that are delivered on a timely basis in order to protect health care workers and ...