Social Media Ideas for Costs/Reimbursement

Costs tied to No Surprises Act's IDR process hit $22B in 2025, study finds

Costs associated with the No Surprises Act's dispute resolution process reached $22.4 billion at the end of 2025, according to a new analysis.

What Healthcare Organizations Miss When It Comes to Reimbursement Accuracy

At the end of the day, the most important question is a simple one: Do you actually know if you’re being reimbursed correctly? The post What Healthcare Organizations Miss When It C...

NHIA outlines reimbursement increases

FQHCs - The Expanding Landscape of Medicare Billing Outside of PPS for Care Management Services

Summary: Medicare has steadily expanded the services that Federally Qualified Health Centers can bill outside the Prospective Payment System, creating new reimbursement opportunit...

Wound Care Under the Microscope: DOJ’s Data-Driven National Takedown Targets Fraudulent Reimbursements and Kickback Sche...

On June 23, 2026, the U.S. Department of Justice (DOJ) announced that it charged 11 defendants in connection with over two billion dollars in fraudulent claims for amniotic wound a...

The Remote Monitoring Reckoning: What CMS’s CY 2027 Proposed Rule Means for Providers and Vendors

Medicare’s reimbursement of remote patient monitoring services, beginning in 2019, offered a meaningful patient care opportunity, paying to give patients devices to measure their h...

Bundle Up: CMS Mandates TJR Reimbursement Bundling Nationwide

CMS announced that the pilot test of bundling musculoskeletal reimbursement is going nationwide.

The Reimbursement Challenges Hurting Women’s Health Companies, Per Milken Institute

Women’s health startups should plan for reimbursement early, as limited research and evidence can make securing coverage difficult, a new report explains. The post The Reimbursemen...

CMS' mandatory VBC programs brought substantial administrative costs for hospitals: study

Four mandatory value-based payment programs were associated with more than $3 billion in aggregated administrative costs compared to non-participating hospitals, researchers' analy...

HHS Is Reviving Its 340B Rebate Push — And Providers Are None Too Pleased

HHS is reviving a rebate program for 340B drug discounts after the previous pilot was blocked in court earlier this year. Providers say the change will burden already cash-strapped...

Gavan Reilly: €288k is the Skyclarys asking price, but what is the cost to patients of waiting?

The Skyclarys campaign has exposed a drug reimbursement system designed for bureaucrats and pharmaceutical companies, not the patients whose lives depend on its decisions.

CMS' proposed 340B reimbursement cut—who wins, and who loses?

Disproportionate share hospitals are expected to see a 5.8% net reduction in OPPS revenue under the proposal, while for-profits are expecting a 7.4% net increase, KFF highlighted i...

A Federal Fix Awards Doctors Billions. It Could Mean Pricier Insurance

The arbitration system stopped many surprise bills, but provider payouts soared to $16.6 billion in 2025, potentially shifting costs to policyholders

Hospital Prepayment Requirements Add New Wrinkles to Patients’ Financial Responsibility

Hospitals and other medical providers are increasingly asking for payment before providing care, collecting more of what patients might owe as rising insurance deductibles add to A...

The Reimbursement Code Monopoly Is a Threat to Health

Healthcare in the United States is in a death spiral. Costs continue to rise, chronic diseases consume 90% of healthcare spending, and millions of Americans feel trapped in a syste...

Your Insurance Says 70 Percent, but You Got Only $140 Back

Your plan says 70 percent reimbursement, and the check says otherwise. That check is correct, and it's based on a number that actually determines what you get back.

The Market Forces Quietly Adding Thousands to Patient Bills

The true cost of “vertical integration”: patients directed to a higher-priced location for procedures. Or forced to buy from their insurer’s wholly owned pharmacy, which may not st...

The True Cost of Focusing on Cost Instead of Cost-Effectiveness

When payors consider only the cost of the medication and not the cost and risk to the patient, doctor, and healthcare system, the irony is that not only is this terrible for patien...

Drug Channels News Roundup, August 2026: 340B Rebate Model v2, Patients Feeling Drug Costs, Specialty Drug Spending Driv...

By Bryce Platt, PharmD Kids are heading back to school, but the drug channel never stops handing out homework. Fortunately, we did some of the research prep for you. In this...

Report: Medical Service Costs in California Comp Rising With Payments, Utilization

Medical service costs in California workers’ compensation rose 5% last year on the back of growth in both average payments and utilization, a new report shows. The Workers’ Compens...

Which Families Pay Most for Neonatal Intensive Care? Analyzing NICU Out-of-Pocket Costs

The price of saving a newborn’s life can extend far beyond the hospital walls. A new analysis published in the Journal of Perinatology is drawing attention to a largely invisible c...

340B Rebates 2.0- HRSA Revives Its Pilot Program — and Sets Up a Collision Course With Congress

The Trump administration advances a claims-based rebate model for select 340B drugs as a new bipartisan Senate bill would block it, forcing health systems to track three reform pat...

Court blocks provider lawsuit against Blue Cross over reimbursement

A verbal yes, a six-figure bill, then a payout that barely moved the needle

Why Value-Based Care Only Works If You’ve Tamed Costs

VBC aligns reimbursements to outcomes, emphasizing the quality and effectiveness, not quantity, of healthcare activities. But the same cost constraints driving interest in VBC can...