Traditional MedicareReimbursementMedium impact
Reinstatement of Medicare Sequestration Fee
EmblemHealth·Provider News
We identified it
Jun 20, 2026
Summary
EmblemHealth is reinstating Medicare sequestration fees for 2022 claims based on service dates: no adjustment for Jan-Mar, 1% reduction for Apr-Jun, and 2% reduction for Jul-Dec. These payment adjustments will appear on remittance statements for Medicare claims.
Action Required
Immediately: Billing team must review remittance statements for 2022 Medicare claims to verify correct sequestration adjustments are applied (0% Jan-Mar, 1% Apr-Jun, 2% Jul-Dec). Update accounts receivable tracking to account for these payment reductions. Monitor for any discrepancies in Medicare reimbursements.