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 ...

2025 SEP 17 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News-- Investigators publish new report on Managed Care. According to news reporting out of Providence, Rhode Island, by ...

Kevin Dowdy, director of managed care for Meridian Surgical Partners, identifies two common mistakes ASCs make when negotiating managed care contracts. 1. Tying the negotiated rates to a moving target ...

Coding of physician office visits can be very confusing – and is ever-changing. Every year, regulations and guidelines change, and it is difficult for providers to keep up. Most groups have coding ...

Workforce shortages, regulatory complexities and economic challenges have put hospitals and health systems under immense pressure to improve operational efficiency, accelerate payments and reduce ...

Managed care organizations (MCOs), which primarily offer medical and pharmaceutical benefit plans, play a central role in the United States healthcare system. By managing health plans for individuals ...

The American Medical Association is overhauling how U.S. doctors report and bill for pregnancy services, bulldozing the current system of bundled payments and replacing it with more granular, itemized ...

Amidst the backdrop of large-scale consolidation across the US health care system, consolidation among Medicaid managed care plans threatens the health and long-term stability of Medicaid managed care ...