Advertisement
Will Medicare's physician payment overhaul drive more docs to hospitals?

Will Medicare's physician payment overhaul drive more docs to hospitals?

By Beth Kutscher and Adam Rubenfire  |  April 27, 2016

The CMS has started to answer the many questions surrounding how physicians will get paid under the Medicare Access and CHIP Reauthorization Act. But some stakeholders were immediately dissatisfied with what they saw, and the 963-page rule may have raised as many questions as it answered.

Editorial: CMS' bold gamble on primary care

Editorial: CMS' bold gamble on primary care

By Merrill Goozner  |  April 16, 2016

The skeptics were out in force last week when the CMS launched a major expansion of its comprehensive primary-care initiative. They are way off base.

'Turnaround was job one. Now we are moving forward'

'Turnaround was job one. Now we are moving forward'

By Modern Healthcare  |  April 09, 2016

Last fall, Karen Ignagni took over as CEO of EmblemHealth—a financially troubled New York insurer with 3.2 million covered lives—after 22 years at the helm of America's Health Insurance Plans. She recently discussed the challenges she faces in her new position.

Final Medicare Advantage rate policies a mixed bag for insurers

By Bob Herman  |  April 07, 2016

Did the Obama administration indulge health insurance companies with friendly changes to Medicare Advantage rate policies for 2017? Or did CMS officials stick to their guns on proposals the industry aggressively lobbied to kill? Experts say it was a little of both.

CMS tests waters for enhanced Medicare Advantage audits

By Bob Herman  |  March 22, 2016

The federal government is examining how it can beef up medical record auditing of Medicare Advantage insurers, which have been accused of exaggerating patient diagnoses to pad their payments. New procedures outlined by the feds will lead to heftier payment recoveries.

Q&A: 'If you are disruptive, somebody's ox is being gored'

Q&A: 'If you are disruptive, somebody's ox is being gored'

By Modern Healthcare  |  March 12, 2016

Crystal Run Healthcare, a fast-growing, multispecialty physician practice in upstate New York, recently launched an insurance arm and has partnered with Mount Sinai in New York City to bring its patient-friendly focus into Manhattan. CEO Hal Teitelbaum discusses the group's strategy.

Advertisement
Modern Healthcare Daily

Award winning coverage of healthcare business and policy news.

The Modern Healthcare app includes a personalized home screen, strong search functionality and immediate downloads from the industry's leading healthcare media brand.