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Out-of-Network Billing

HCCI collaborated with the National Kidney Foundation and The DataFace to develop a national and state-level multi-payer dashboard that examines the current state of Chronic Kidney Disease (CKD) in the US and highlights the gaps in CKD-related care. Our interactive tool allows users to examine the rates of CKD testing and diagnosis among people at-risk for CKD. It also highlights CKD quality of ca...

Menopause is clinically defined as the end of a female's menstrual cycle, but for many, this stage of life is marked by uncertainty and confusion. It is a period where information is vague, experience is poorly understood, and it leaves many women feeling isolated as they navigate the complex changes of aging. Each year, nearly two million women enter menopause, yet there is a significant knowledg...

The amount of health care services people use varies widely across the population and can change year to year. People may require a higher amount of care in one year and fewer services the next. Although "high utilizers" are often discussed, there are people who do not use any services throughout the year. Other than being in good physical health, people may not seek care for a variety of reasons ...

The Lower Costs, More Transparency Act (H.R. 5378) currently before Congress aims to increase price transparency in health care and address the high cost of prescription drugs. One of the provisions of the bill would change the way Medicare pays for physician administered drugs. Currently, Medicare pays a higher price for drugs that are administered in a hospital outpatient setting than drugs that...

Technological medical advancements have shifted an array of procedures previously rendered in inpatient hospitals to ambulatory surgical centers (ASCs). For example, same-day procedures (e.g., cataracts surgery) that do not require an overnight hospital stay and musculoskeletal procedures, such as arthroscopy, are commonly performed at ASCs.  Because they operate independently of brick-a...