CMSPricer

We are all very well aware of the importance of taking health insurance policies as they provide us with financial security in times of any medical emergency. In the present day, with the availability of a large number of health insurance options, people can now choose the most suitable health insurance plans as per their specific needs and coverage benefits. And when it comes to health insurance programs in the United States, Medicare is the most prominent name that comes up in the mind. It is the United States’ national health insurance program that is presently administered by the Centers for Medicare and Medicaid Services (CMS) . This federal health insurance is for people aged 65 and above.   Medicare has been divided into 4 parts – Part A, which provides inpatient or hospital coverage, Part B that provides outpatient or medical coverage, Part C includes the Medicare Advantage Plan or Medicare Private Health Plan like HMO or PPO, which provides the Medicare benefits but t...

With the excessive rise in the cost of healthcare services in the present day, it is important to find ways to make medical services affordable for patients and their families. Different healthcare insurance policies are available today that make it easy to afford the medical bills and make the expenses less burdensome. Understanding the Concept of Reference Based Pricing Healthcare Most organizations today, arrange for healthcare coverage plans for their employees, and there are certain options in these insurance policies, such as reference based pricing healthcare that keep the medical claim costs within a limit. The reference based pricing sets a limit on the cost of certain healthcare services and the insurance provider will be liable to pay that fixed amount for the specific medical services. The main benefit of reference based pricing healthcare is that it reduces the cost of healthcare that the organizations might have to bear for the employees and more specifically, for those...