Date & Time: Wednesday, September 23, 2026 at 2:00 pm ET
Audio system
Dr. Neel Shah, Chief Medical Officer, Maven Clinic
Doreen Bortel, Chief Income Officer, Maven Clinic
Catherine Metzgar, PhD, RD, Director of Teaching, Virta Well being
Description:
When maternity billing modifications, your well being prices change with it — and employers are often the final to see it coming. Beginning January 1, 2027, the way in which maternity care will get billed is being rebuilt from the bottom up. What replaces it should present up in your premiums — or your direct prices should you’re self-funded — whether or not or not your crew is prepared for it.
Right here’s what’s occurring: one international maternity charge is splitting into itemized codes for prenatal, supply, and postpartum care. CMS’s proposed charge schedule shifts worth inside that new construction — labor and supply codes may see a 15% bump, whereas prenatal and postpartum visits lose floor — and none of it’s finalized but. A separate proposal may additionally let some payers maintain billing the outdated manner, which means two totally different billing techniques may find yourself working facet by facet for a similar being pregnant.
For those who’re making an attempt to plan your 2027 renewal, advantages and well being spend round a rule that isn’t completed being written, you’re not alone. Be part of Maven’s Chief Medical Officer and Chief Income Officer for an AMA on what’s altering, what it means on your prices, and find out how to get forward of it.
Be part of to study:
- What CMS has confirmed versus what’s nonetheless contested within the proposed CY2027 charge schedule, together with the G-code proposal that might cut up billing into two parallel techniques.
- construct funds predictability into your 2027 renewal even because the charge construction shifts beneath it.
- Which levers — high-risk identification, NICU avoidance, C-section discount — truly reduce your publicity to unpredictable claims.
