Reimbursement
Simplified

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

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Medicare Coverage & Payment

Medicare Coverage & Payment

2016/2017 Issues & Regs Update

Health Reform in Medicare

Value-Based Payment in Medicare

Health Reform among Private Payers

Health Reform among Private Payers

Latest news on Medicare Reimbursement

Final Medicare Inpatient Rates for FY 2018

August 4, 2017

Proposed Medicare 2018 Outpatient, Physician, ASC Payments

July 17, 2017

Medicare Proposes Easing MACRA Rules

June 22, 2017

February 5, 2015

February 5, 2015

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

Health Reform Implementation

Medicare and private payers are using—or testing—a wide range of new healthcare reimbursement models and approaches. These include ACOs, bundled payments, medical homes, and value-based purchasing.

Federal and state initiatives

Health reform in Medicare

Health reform among private payers

Reimbursement resource guide

Reimbursement Resource Guide

Learn about key reimbursement issues in Medicare

and among private payers

Learn about key reimbursement issues in Medicare

and among private payers

Click the map to see Medicare ACOs by state

Click the map to see Medicare ACOs by state

Click the map to see Medicare ACOs by state

Learn about key reimbursement issues in Medicare

and among private payers

Click the map to see Medicare ACOs by state

Click the map to see Medicare ACOs by state

Click the map to see Medicare ACOs by state

Learn about key reimbursement issues in Medicare

and among private payers

Click the map to see Medicare ACOs by state

Click the map to see Medicare ACOs by state

Click the map to see Medicare ACOs by state

Accountable Care Organizations by State

Click below to see new and existing ACOs

Accountable Care Organizations by State

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

Resources