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Photo of Health Law by Hinshaw: News and Insights for Health Care Industry Executives and Professionals Victoria R. Glidden
Partner
vglidden@hinshawlaw.com
815-490-4914
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Victoria Glidden devotes a substantial portion of her practice to health care reimbursement and revenue cycle performance including accident claim …

Showing 2 posts by Victoria R. Glidden.

New Cost Containment Strategies Allow Payors to Reduce In-Network Reimbursements

A Managed Care Organization (MCO) contracts with providers to create provider networks that deliver health care services at discounted rates. The plan accessing the provider network may offer a Coverage Agreement issued by the MCO. In the alternative, the plan accessing the provider network may be a self-funded plan offered by an employer that contracts with the MCO to access the MCO's network to apply its discounted rates to the self-funded plan's Coverage Agreement. Providers are either reimbursed by the MCO's plans or by the self-funded plans accessing the network and offering benefit plans to employees. More ›

CMS Requires Hospitals to Publish Standard Charges on the Internet

Section 2718(e) of the Public Health Service Act, which was enacted as part of the Affordable Care Act, updated Medicare payment policies to require that "each hospital operating within the United States, for each year, establish (and update) and make public (in accordance with guidelines developed by the Secretary) a list of the hospital's standard charges for items and services provided by the hospital." CMS provided guidance for implementation and stated hospitals are required to make the list of their standard charges, or their policies for public access to the list, available upon inquiry. More ›

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