Non-Profits At Odds On How To Address Third-Party Payment Concerns

Two non-profit charities that offer premium payments to help low-income patients afford insurance are at odds over how CMS should mitigate concerns that such programs are being used to steer patients away from Medicare/Medicaid and into private coverage with higher reimbursements. Patient Services, Inc. (PSI) and American Kidney Fund (AKF) both proposed solutions that would require plans to accept payments from nonprofits to adhere to certain criteria to avoid potentially fraudulent behaviors that concern CMS. The agency issued last month.

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