The 2021 Poverty Guidelines were posted today at https://aspe.hhs.gov/poverty-guidelines and in effect as of January 13, 2021. The Federal Register notice for the 2021 Poverty Guidelines will be published the week of January 18 through January 22, 2021. Payers and Providers wait for the release of the poverty guidelines each year to update patient financial…

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Effective January 1, 2021, hospitals are required to post standard charges in a machine-readable file and post their negotiated rates online for 300 “shoppable” services, 70 of which are pre-selected by the Centers for Medicare and Medicaid Services (CMS). “Standard charges” include the gross charges, payer-specific negotiated charges, the amount the hospital is willing to…

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SCOTTSDALE, Ariz. (Dec. 9, 2020) – Centauri Health Solutions (“Centauri”), an innovative healthcare technology and services company headquartered in Scottsdale, has been named one of the 100 Best Places to Work by Phoenix Business Journal. Centauri ranks as the #10 Best Place to Work in the Large Companies category, which includes organizations with 250-999 Phoenix-area…

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Perhaps you have more questions than answers about the Social Determinants of Health, such as: Why are social determinants important? Should I look at the community at large or individuals? Where do I start? How do I know if my patient or member population has unmet needs? What is a Z Code? How much money…

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Attributes 1,019% revenue growth to strategic acquisitions and organic growth SCOTTSDALE, Ariz. (Nov. 18, 2020) – Centauri Health Solutions (“Centauri”) today announced it ranked #119 on Deloitte’s Technology Fast 500™, a ranking of the 500 fastest-growing technology, media, telecommunications, life sciences and energy tech companies in North America, now in its 26th year. Centauri grew…

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Deal continues year of Centauri’s growth in hospital revenue cycle optimization SCOTTSDALE, Ariz. (Nov. 16, 2020) – Centauri Health Solutions (“Centauri”), an innovative healthcare technology and services company, announced today that it has acquired Ivy Ventures, LLC (“Ivy”), a Virginia-based healthcare growth solutions company focused on developing referral-driven service lines and improving care coordination. This…

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SCOTTSDALE, Ariz. (October 8, 2020) – Centauri Health Solutions (“Centauri”), an innovative healthcare technology and services company, announced today that it has designed a solution that efficiently leverages providers’ investment in Epic software to meet the Pricing Transparency mandate. The mandate, enacted by the Centers for Medicare & Medicaid Services (CMS),  includes requirements for hospitals to…

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Printed materials, educational question and answer sessions, and dedicated, live resources are all part of my employer-sponsored insurance (ESI) annual open enrollment experience. I take advantage of this enrollment assistance each year and would be lost without it. The same holds true for the hospital patients and health plan members Centauri Health Solutions (“Centauri”) assists…

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There have been a lot of changes with HEDIS® for MY2020.  We’ve highlighted key changes in the Volume 2 specifications until the final changes become available on October 1. The first change to note is that NCQA has instituted a new naming convention to reduce confusion about the measurement year vs. reporting year. Going forward,…

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CLICK TO VIEW INTERACTIVE VISUALIZATION The implementation of the Affordable Care Act (ACA) significantly changed insurance regulation in the individual and small-group health insurance markets. The ACA included a budget-neutral risk-adjustment program intended to prevent adverse selection by transferring payments to insurers who have higher-risk enrollees as reflected in their claims and supplemental data submitted…

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