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Billing squeeze: Hospitals in middle as insurers and doctors battle over out-of-network charges

Billing squeeze: Hospitals in middle as insurers and doctors battle over out-of-network charges

As more insurers shift to narrow provider networks to keep premiums down, hospitals increasingly find themselves caught in the middle as patients, insurers and physicians fight over who should pick up bills for services that patients unknowingly receive from out-of-network doctors.

Editorial: Hospital admission policy in Dismaland

By Merrill Goozner  |  August 29, 2015
Editorial: Hospital admission policy in Dismaland

Over the several years that the CMS and hospitals have been tussling over the reasons behind the steady rise in short-term observation stays, no one until now has suggested the increase represents a deliberate effort by hospitals to avoid Medicare's 30-day readmission penalties.


Research

Biotechnology companies, 2015

Biotechnology companies, 2015

A list of the 20 largest biotechnology companies ranked by 12-month revenue as of June 30, 2015. Source: BioPharm Insight. Published Aug. 31, 2015, p. 35.


Insurance

Some Advantage plans lose members

Some Advantage plans lose members

Medicare Advantage has been held up as a source of solid growth for health insurers. Humana's reach and expertise in the market attracted Aetna's $37 billion buyout bid. But not all Advantage plans are benefiting from the enrollment wave.

Government

NLRB ruling could shake up healthcare staffing industry

A ruling Thursday by the National Labor Relations Board could complicate relations between healthcare organizations and their workers employed by staffing agencies. Healthcare staffing firms may become a target for unions looking to organize workers in multiple facilities in one fell swoop.

People

'Awakenings' author, pioneering neurologist Oliver Sacks dies

'Awakenings' author, pioneering neurologist Oliver Sacks dies

There was the blind man who had the disastrous experience of regaining his sight. The surgeon who developed a sudden passion for music after being struck by lightning. Those stories and many more came from the pen of Dr. Oliver Sacks. Sacks, 82, died Sunday at his home in New York.

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