Sarasota, FL (WorkersCompensation.com) – In a “pay-for-performance” program or agreement, providers receive either a bonus or a penalty based on cost and outcome benchmarks that are set by a payer. Value-based payment models use quality […]

Sarasota, FL (WorkersCompensation.com) – Earlier this month, the Centers for Medicare & Medicaid Services (CMS) released their findings of Fee-for-Service claims audits conducted this year.  Last year, CMS estimated that the rate of improper payments […]

Sarasota, FL (WorkersCompensation.com) – COVID-19 has certainly been persistent in leaving its mark on the world. Some studies have suggested that when it comes to Long COVID, the numbers have been grossly underestimated. Three years […]

Sarasota, FL (WorkersCompensation.com) – Healthcare has seen an 84 percent increase in provider bankruptcies according to evidence presented before the House Committee on Ways and Means in September. While reductions and delays in payment, as […]

Sarasota, FL (WorkersCompensation.com) – Despite strong complaints from the American Medical Association (AMA) about a 26 percent decrease in physician reimbursement from 2001 to 2023, it appears those complaints have fallen on deaf ears.  On […]

Sarasota, FL (WorkersCompensation.com) – Recently, drug pricing and rebates have been under scrutiny by not only the American Medical Association, but the federal government as well.  The U.S. Department of Justice recently announced a settlement […]

Sarasota, FL (WorkersCompensation.com) - Earlier this year, testimony presented to the House Committee on Ways and Means, showed that the number of healthcare provider bankruptcies increased 84 percent from 2021 to 2022. Although workforce shortages […]

Sarasota, FL (WorkersCompensation.com) – Starting in 1996 Anthem, Inc was one of the largest healthcare companies in the U.S., offering medical coverage through its association and acquisition of Blue Cross Blue Shield plans. In 2022, […]