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Providers Get Same Rates from Plans Inside, Outside Exchanges
Hospitals will be paid nearly the same rates by health plans sold through new state insurance exchanges as by plans sold to employers outside them, say analysts and hospital system executives.
Hospitals will be paid nearly the same rates by health plans sold through new state insurance exchanges as by plans sold to employers outside them, say analysts and hospital system executives interviewed by Modern Healthcare.
Hospital analysts with Fitch Ratings said hospital reimbursement rates offered by exchange health plans are mostly similar to those paid by commercial insurers, despite initial fears that rates would be closer to the lower rates paid by Medicare. “The early information has been fairly favorable for hospitals,” said Megan Neuburger, a for-profit healthcare analyst and senior director with Fitch Ratings.
Jim LeBuhn, a senior director and analyst of not-for-profit healthcare, agreed. “I think providers have been pretty satisfied with the rates they've been able negotiate.”
Read the full story here: http://bit.ly/18x8Ysv
Source: Modern Healthcare
Navigating Health Policy in an Election Year: Insights From Dr Dennis Scanlon
April 2nd 2024On this episode of Managed Care Cast, we're talking with Dennis Scanlon, PhD, the editor in chief of The American Journal of Accountable Care®, about prior authorization, price transparency, the impact of health policy on the upcoming election, and more.
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Commonwealth Fund Report Details Pervasive Racial and Ethnic Disparities in US Health Care, Outcomes
April 18th 2024Using 25 health system performance indicators, the Commonwealth Fund 2024 State Health Disparities Report evaluated racial and ethnic disparities in health care and health outcomes both within and across US states and highlighted the urgent need for equitable health care policies and practices in the US.
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Exploring Medicare Advantage Prior Authorization Variations
March 26th 2024On this episode of Managed Care Cast, we're talking with the authors of a study published in the March 2024 issue of The American Journal of Managed Care® about their findings on variations in prior authorization use across Medicare Advantage plans.
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