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Mercy inks first virtual care deal with UNC Healthcare

Mercy inks first virtual care deal with UNC Healthcare

By Beth Kutscher  |  February 10, 2016

The collaboration is a new take on a common theme: Telemedicine meets clinically integrated network. And it will allow faster and broader telemedicine adoption than if each health system tried to build its own independent program.

Rural or urban? Court ruling would let some hospitals save money by being both

By Lisa Schencker  |  February 05, 2016

Some believe a federal appeals court decision over hospital classifications could lead to millions of dollars in savings for hospitals across the country. The court Thursday invalidated a Medicare regulation that says certain hospitals can't be classified as both rural and urban.

Blog: More providers than previously thought accept Medicaid patients

By Virgil Dickson  |  January 29, 2016

Patient advocates argue that providers are often unwilling to take on Medicaid enrollees because reimbursement rates can be as little as 60% of the costs of care. But a new analysis by the Medicaid and CHIP Payment and Access Commission could be turning that belief on its head.

Tavenner slams CMS for Medicare Advantage underpayments

Tavenner slams CMS for Medicare Advantage underpayments

By Virgil Dickson  |  January 23, 2016

The CMS’ previous administrator, Marilyn Tavenner, criticized the agency after an analysis showed it has underpaid Medicare Advantage plans for the costs of treating individuals with chronic conditions.

Insurers lose, injured beneficiaries win in Supreme Court decision

Insurers lose, injured beneficiaries win in Supreme Court decision

By Lisa Schencker  |  January 20, 2016

The U.S. Supreme Court delivered a blow to insurance plans and a victory to injured beneficiaries in an 8-1 decision Wednesday that limits the circumstances under which plans may recover money from beneficiaries who win cash in court for their injuries.

MedPAC tweaks to Medicare Advantage rules could save up to $5 billion

By Virgil Dickson  |  January 14, 2016

MedPAC voted Thursday to request that Congress pass legislation letting the HHS secretary eliminate benchmark caps and “double bonuses” now given to Advantage plans. That proposal comes after a series of whistle-blower cases that allege providers and Advantage plans bilked the system.

Blog: Skin in the game gets personal for doctors

By Harris Meyer  |  January 12, 2016

Physicians are finding themselves being held financially accountable for their medical choices, and they don't much like the skin-in-the-game model or metaphor.

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