Posts by Centauri Health Solutions Staff

What year was it? The number of non-elderly uninsured Americans was 48.2 million (18.2%) Uninsured children under the age of 18 was 9.8% Employer-sponsored insurance covered 55.3% of the population 5% of the population was covered by Medicare 9% of the population was covered by Medicaid with some individuals covered by Medicare and Medicaid Medicaid…

Medicare and Medicaid are two separate and commonly misunderstood programs, even among healthcare professionals. Centauri Health Solutions wants to help clarify the differences. Medicare was designed to protect people in retirement. Originally, it included Part A, which is hospital insurance, and Part B, which covers medical care outside of a hospital admission. Medicare pays the…

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…

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…

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…