Implementing federal health payer policies across state and local health plans.
ACOG recognizes that the daily practice of obstetrician-gynecologists is impacted by coverage, payment, and administrative policies imposed by public and private payers. Several policies are set by federal or state governments and implemented across all payers.
The three broad categories for payer type include Medicare, Medicaid, and commercial (private) plans. Within those categories there are hundreds of public and private companies; in fact, according to the National Association of Insurances Commissioners, over 1,000 health insurance companies in 2020 brought in a net earnings of about $31 billion for the year.
The information in these pages includes federal health payer policies that may be implemented differently by state and local health plans. To find state plan information, look up your state insurance commissioner website.
Administrative Burden and Surprise Billing
The ACOG Health Economics and Practice Management team advocates on behalf of ACOG members with public and private payers to ensure their policies minimize administrative burden.Go
Information blocking is the practice of interfering with the access, exchange, or use of electronic health information.Go
Telehealth has quickly become a vital modality for practices to be able to reach patients where they are.Go
Hospitals: Perinatal Quality Initiative Collaboratives
Learn about the new Hospital Inpatient Quality Reporting Programs’ Maternal Morbidity Structural Measure, starting data collection on October 1, 2021.Go
For questions or issues, contact us through ACOG’s Payment Advocacy and Policy Portal.Go