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Medicare Reductions from a Lame-Duck Congress? Not likely!
On November 1, 2022, the Centers for Medicare and Medicaid Services (CMS) released its final rule cutting Medicare payments by 4.5% for physicians (including physicians,…
On November 1, 2022, the Centers for Medicare and Medicaid Services (CMS) released its final rule cutting Medicare payments by 4.5% for physicians (including physicians,…
Human Resources Teams are tasked with developing benefit solutions that meet many needs. They recruit new employees with competitive offerings and retain employees by meeting…
I was asked to write an article expressing our position on the recent news that PHCS would only be allowed alongside HST on RBP business.
There is an abundance of non-fiduciary reference based pricing (RBP) vendors who charge a fixed cost per employee per month (PEPM), aka “repricers.” Repricers have…
The ClaimDOC Sales Team frequently runs across brokers and consultants who have been told very black and white versions of building out a referenced based…
What is the best way to enforce regulations in an already heavily regulated industry like healthcare? Is it the carrot a la non-profit tax breaks…
Transparency legislation has created a new wave of data-driven companies, resources, and information that have stakeholders in the industry drooling over access to this once-secretive,…
For those in the benefits world, you know the acronyms. DPC – direct primary care and RBP – reference based pricing. The former is a…
Prior to joining ClaimDOC in May of 2021, I spent most of the last 25 years negotiating transactions on behalf of health systems, hospitals and…