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Medicare Advantage Plans By the Numbers
See the Medicare Advantage plan numbers. 99% of Medicare beneficiaries have an MA plan available. The average beneficiary has 21 plans available during Open Enrollment
Rising Deductibles Drive More Patients to HSAs
If patients get sticker shock on their health plan deductibles in January, it’s bound to be contagious. Providers trying to get paid will catch it too.
The High (and Hidden) Costs of Staff Turnover in Healthcare
Open Enrollment Sets Up a Challenging January 2018
2018 could be confusing and create anxiety for patients and providers will be on the front lines. Shorter open enrollment for some could lead to missed deadlines.
Public Comment on 7030 EDI Standards Now in Progress
The industry is evaluating the proposed 7030™ standard. The comment period is open to providers, payers and ABILITY Strategic Partners until Nov. 30, 2017.
ABILITY | EASE® All-Payer: Comprehensive all-payer claims management
ABILITY | SECUREPAY
Social Security Numbers to Disappear from Medicare Cards
Medicare beneficiaries start receiving cards in 2018 with new patient identifiers. Social Security numbers will no longer be used. ABILITY will be ready.
MACRA Reprieve for More Than 800,000 Physicians
More than 800,000 physicians are being relieved of MACRA reporting responsibilities for 2017. They are now receiving letters notifying them of their status.
4 Barriers to Addressing the Expanding Opioid Crisis
Opioids have been in the news as funds are pledged to address the crisis and revelations about the death of Prince unfold. Progress is underway, but slowly.
Two groups could give telehealth the traction it needs
Telehealth is making inroads but its larger promise still seems far off. Veterans and Baby Boomers could change all of that.
Will physicians be burned by MACRA surprises?
MACRA is here and physicians and other providers eligible to bill Medicare should be collecting their data now, as it will impact their payments in 2019.
Diving into the Skilled Nursing Facility (SNF) ‘Final Rule’ on arbitration agreements
CMS issued its Final Rule for skilled nursing facilities in fall 2016. What you need to know about how to implement new rules on binding arbitration.
Are eligibility changes putting you at risk?
In the midst of potential changes to the ACA it can be easy to forget the importance of the basics like patient eligibility. Checking for changes in patient insurance coverage will always be a top...
Value-based care: burden or benefit?
With the uncertain future of the Affordable Care Act (ACA), it’s hard to know which features of the program, if any, will be preserved.
Is patient bad debt hurting your bottom line?
Healthcare providers are increasingly finding themselves acting as banks and bill collectors when it comes to getting paid for care. With the rise of high-deductible health plans and other...
Why payroll vendors may fall short for PBJ reporting
The first PBJ reporting deadline is near, and some SNFs are relying on payroll vendors to help them meet it. Read why this may not be the best solution.
Lessons from Medicaid Managed Care
Open Enrollment: Are You Ready?
A positive side to changing payment models