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BREAKING: CMS proposes mandatory cardiac bundled-payment pilot

BREAKING: CMS proposes mandatory cardiac bundled-payment pilot

By Elizabeth Whitman  |  July 25, 2016

The CMS is proposing mandatory bundled payments for heart attacks and bypass surgery at hospitals in 98 randomly selected metropolitan areas. The family of procedures would become the second to be rolled into a mandatory experiment with the model.

What will happen with healthcare policy under President Trump ... or ... Clinton?

What will happen with healthcare policy under President Trump ... or ... Clinton?

By Harris Meyer  |  July 23, 2016

The November elections surely won't end the nonstop, eight-year political war over the shape of the U.S. healthcare system. But the ballot results likely will determine whether the changes driven by the ACA continue in the same direction or the system returns to its previous, less-regulated form.

Physician Personals: Specialty group seeks primary-care practice

By Howard Wolinsky  |  July 23, 2016

The single life may prove troublesome for specialty group practices under MACRA. David Fitzgerald, CEO of Proliance Surgeons in suburban Seattle, said specialty practices are in the dark about their fate under the new physician reimbursement system.

Small practices need allies

Small practices need allies

By Howard Wolinsky  |  July 23, 2016

Dr. Joe Schlecht isn't afraid of MACRA, although he knows the design of the new Medicare payment system will be challenging for small practices like his. “Most primary-care physicians are still practicing like they did 10 years ago. They don't even know how to spell MACRA,” he said.

$1 billion Medicare fraud conspiracy alleged in Miami

$1 billion Medicare fraud conspiracy alleged in Miami

By Erica Teichert  |  July 22, 2016

The owner of more than 30 skilled-nursing and assisted-living facilities in the Miami area and two co-conspirators have been charged for their involvement in a $1 billion Medicare fraud and money laundering scheme.

Medicare panel votes against coverage for leg vein treatments

By Virgil Dickson  |  July 21, 2016

A panel that advises the CMS on Medicare coverage decisions says it has little to no confidence there is adequate data that current treatments for patients with diseased leg veins improve health outcomes.

Hospitals have been preparing to comply with anti-discrimination rule

By Virgil Dickson  |  July 18, 2016

U.S. healthcare providers and insurers that accept federal funding are now required by an HHS rule to adhere to new protocols when dealing with transgender patients. Hospitals in Boston, New York and San Francisco say their local anti-discrimination laws have made it easy to follow the new rule.

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