CMS is interested in balance billing and says its new model would offer better quality care and cost less.
By Marlene Satter and BenefitsPRO Editors|April 24, 2018 at 12:26 PM
Thank you for sharing!
Your article was successfully shared with the contacts you provided.
Just as states are increasingly taking action against the practice of balance billing—wherein health care providers can bill patients for any amounts still outstanding when an insurer has paid up to a predetermined ceiling for care provided—the Center for Medicare and Medicaid Services plans to launch a new payment model expanding that practice.
CMS announced its plan for direct provider contracting yesterday. In its announcement, which Inside Health Policy Daily notes was a “loosely described model,” the CMS said direct provider contracting would “allow providers to take further accountability” and would “enhance the doctor-patient relationship by eliminating administrative burden for clinicians.”
Complete your profile to continue reading and get FREE access to BenefitsPRO.com, part of your ALM digital membership.
Your access to unlimited BenefitsPRO.com content isn’t changing. Once you are an ALM digital member, you’ll receive:
Critical BenefitsPRO.com information including cutting edge post-reform success strategies, access to educational webcasts and videos, resources from industry leaders, and informative Newsletters.
Exclusive discounts on ALM, BenefitsPRO magazine and BenefitsPRO.com events.
Access to other award-winning ALM websites including ThinkAdvisor.com and Law.com
61% of employers surveyed consider caregiving benefits to be a top priority for their business and employees, yet 22% consider themselves as below average in developing caregiving benefits. Download this info sheet to help your clients remain competitive by offering a care benefit package.