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Read more about the article 2026 Medical Cost Report – Strategies for Employers, Health Plans, Providers and Healthcare Investors

Medical Cost Strategies l in pharmacy with improved coverage rules for PBMs catastrophic loss use reasonable medical bill charges expert witness mental health observability driven interventions and ASO oversight for ERISA plans

2026 Medical Cost Report – Strategies for Employers, Health Plans, Providers and Healthcare Investors

Post author:Michael F. Arrigo
Post published:May 7, 2026
Post category:Clinical Decision Support Drug Pricing DSM-5 Edge Computing efficiency ERISA evidence based medicine Medical Cost Strategies Reasonable Medical Bill Charges Usual Customary and Reasonable Charges
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Health plan strategy | Pharmacy spend | High-cost claims | ERISA fiduciary oversight Medical Cost Strategies for Employers, Health Plans, Providers, and Healthcare Investors Medical cost strategies based on UnitedHealthcare’s…

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Inpatient Psychiatric Facilities Impacted by Affordable Care Act, ICD-10

Post author:Michael F. Arrigo
Post published:August 2, 2015
Post category:Affordable Care Act DSM-5 ICD-10
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Section 1886(s)(4)(C) of the Social Security Act, amended by sections 3401(f) and 10322(a) of the Affordable Care Act requires IPFs to report quality data for 6 quality measures starting in fiscal 2013 for Medicare beneficiaries. Beginning in FY 2015, two quality measures are added. Why does this matter in the context of ICD-10? The quality measures will be based on diagnosis and procedures coded in ICD-10 beginning October 1, 2015.

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