Reimbursement simplified

Information and news on health reform, reimbursement, coverage, Medicare, and private payers

Medicare Coverage & Payment

2018 Issues & Regs

Value-Based Payment in Medicare

Health Reform among Private Payers

More Flexibility for Medicare Advantage

February 8, 2019

NC Blue Cross Shifts to Value

January 25, 2019

Medicare Redesigns Shared Savings ACOs

January 15, 2019

2019 Medicare Physician Payment Policies Final

November 6, 2018

February 5, 2015

February 5, 201

Medicare Tests Higher Telehealth Pay in Rural Hospitals

September 8, 2016

Medicare Tests Higher Telehealth Pay in Rural Hospitals

September 8, 2016

Medicare Tests Higher Telehealth Pay in Rural Hospitals

September 8, 2016

New Medicare ACOs in 2017

January 31, 2017

New Medicare ACOs in 2017

January 31, 2017

More news

Value-Based Payment

Medicare and other payers are implementing many initiatives that tie payment to provider performance.

Federal and State Initiatives

Value-Based Payment in Medicare

Value-Based Payment Among Private Payers

Reimbursement Resource Guide

Learn about key reimbursement issues in Medicare and among private payers.

Learn more

Accountable Care Organizations by State

Click below to see new and existing ACOs

Coverage and Payment

Medicare and private payers make decisions daily about whether, and under what circumstances, they will cover and pay for medical services. These are the decisions that form the real-world of patient access, quality improvement, and health care spending.

Private payer coverage and payment

Medicare coverage and payment