Your Health’s Will Stillinger and athenahealth’s Chad Dodd describe effort to make it easier to close care gaps in primary ...

Site-neutrality has been a policy floated by members of Congress for years, and there is no better time to implement it than now.

As hospitals and health systems face increasing pressure to maintain margins and secure sustainable reimbursement, a growing number of leaders are turning to an old business truth: What gets measured, ...

Recent strategy statements from the Centers for Medicare & Medicaid Services (CMS) make it clear that Medicare will hold ...

People who have group health insurance when they become eligible for Medicare sometimes find themselves on the hook for their ...

In 1980, Congress passed legislation that made Medicare the “secondary payer” to certain primary plans in an effort to shift costs from Medicare to the appropriate private source of payment.

Benefit coordination is integral to the Medicare Secondary Payer Program. This assists Medicare in identifying situations in which the insurer should not be the primary payer for claims.

and the secondary payer then steps in to cover some or all remaining expenses. With Medicare, secondary payers contribute to copayments and coinsurance. Usually, Medicare is the primary payer ...

These rules are part of the Medicare Secondary Payer program, designed to help Medicare determine when it should not be the primary payer of claims. The Benefits Coordination & Recovery Center ...

Once retired, Medicare becomes the primary payer and your FEHB/PSHB pay as secondary payer. There are FEHB/PSHB plans with low rates that complement Medicare by waiving cost sharing (deductible ...

On April 4, 2025, the Centers for Medicare & Medicaid Services (CMS) will implement significant changes to the reporting requirements for workers' compensation claims involving Medicare beneficiaries.