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Dialysis providers expect ACOs, payment cuts, consolidation

Dialysis providers expect ACOs, payment cuts, consolidation

By Beth Kutscher  |  October 11, 2014

The $25 billion dialysis industry faces transformation as it moves from offering a profitable niche service to what insurers see as a cost center under the population health-management approach.

MedPAC disputes that half of new Medicare enrollees pick Advantage

MedPAC disputes that half of new Medicare enrollees pick Advantage

By Paul Demko  |  September 15, 2014

Half of new Medicare beneficiaries are opting for private plans over the traditional fee-for-service program. That's a statistic that's been reported by Modern Healthcare and other publications in recent years. Healthcare consultant John Gorman, one of the foremost experts on Medicare Advantage,...

Proposed physician fee schedule draws criticism from docs, insurers

Proposed physician fee schedule draws criticism from docs, insurers

By Virgil Dickson  |  September 11, 2014

Stakeholders from across the healthcare continuum are raising red flags about provisions of Medicare's proposed physician fee schedule for 2015, including quality incentives and reporting for physicians, a new reimbursement code for chronic-disease management and a fact-finding initiative...

Samitt to leave DaVita

Samitt to leave DaVita

By Bob Herman  |  July 18, 2014

Dr. Craig Samitt, CEO of HealthCare Partners, the Torrance, Calif.-based division of DaVita HealthCare Partners, will step down on Aug. 1. DaVita CEO Kent Thiry will assume responsibility for the division, the company said.

MedPAC may recommend Advantage hospice benefit

MedPAC may recommend Advantage hospice benefit

By Virgil Dickson  |  November 12, 2013

The Medicare Payment Advisory Commission is considering asking Congress to require Medicare Advantage carriers to cover hospice stays, a significant change to the managed-care plans.

Syncing Medicare options on MedPAC agenda

By Modern Healthcare  |  November 02, 2013

Convening for the first time since September because of the government shutdown, the Medicare Payment Advisory Commission plans to look at how Medicare's different delivery system options—including traditional fee-for- service, accountable care...

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