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News
Reform Update: Narrow insurance networks under ACA depressing physician pay
By Andis Robeznieks | July 21, 2014 | Basic Web Basic Web Subscription Details
The physician pay landscape has flattened out, and healthcare reform may be a primary cause.
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News
Docs say Medicare's proposed rates for heart procedure would limit access
By Virgil Dickson | July 18, 2014 | Basic Web Basic Web Subscription Details
Cardiac surgeons and medical societies are asking the CMS to reconsider proposed payment rates for implanting Abbott's MitraClip, a device that treats a debilitating heart condition.
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News
HCA earnings get bigger boost than expected from healthcare reform
By Beth Kutscher | July 16, 2014 | Basic Web Basic Web Subscription Details
HCA, the country's largest for-profit hospital chain by revenue, Wednesday previewed strong second-quarter results, highlighting a 12.2% increase in income before taxes. It also raised its financial guidance for the year.
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News
Reform Update: Doctors' employment contracts due for renewal—and revamp
By Andis Robeznieks | July 14, 2014 | Basic Web Basic Web Subscription Details
Physician employment contracts with hospitals that were signed in the early days of healthcare reform are coming up for renewal.
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News
Halifax Health to pay $1 million settlement in widely watched False Claims case
By Joe Carlson | July 14, 2014 | Basic Web Basic Web Subscription Details
One of the most widely watched False Claims Act cases filed against a hospital is quietly approaching an end—Florida's Halifax Health is preparing to pay $1 million to settle an alleged $73 million Medicare overbilling case.
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News
CMS ready to bundle some outpatient care into 'mini-DRGs'
By Bob Herman | July 11, 2014 | Basic Web Basic Web Subscription Details
In an attempt to better align Medicare's payment systems, the CMS plans to implement new, more inclusive bundled outpatient codes akin to inpatient diagnosis-related groups.
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News
CareFirst reports major savings with medical home program
By Rachel Landen | July 10, 2014 | Basic Web Basic Web Subscription Details
CareFirst's Patient-Centered Medical Home Program is continuing to bend the healthcare-cost curve after three years of operation and more than $267 million in savings, the insurer announced.
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News
Dubious Medicare billing found at clinical labs
By Bob Herman | July 09, 2014 | Basic Web Basic Web Subscription Details
Medicare doled out $8.2 billion in Part B payments to clinical laboratories in 2010, but more than 20% of those payments came from claims tied to questionable billing patterns, according to a government report.
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News
Reform Update: Can Medicaid beneficiaries find a doctor? The CMS wants to know
By Virgil Dickson | July 08, 2014 | Basic Web Basic Web Subscription Details
The CMS is planning to conduct its first nationwide research effort to answer the question of whether adult Medicaid beneficiaries can find providers, and if factors such as being in managed Medicaid versus a fee-for-service offering aid or hurt the search. What it's likely to find, according to...
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Magazine
Fee-for-service isn't to blame for healthcare's ills, and other letters
By Modern Healthcare | July 05, 2014 | Print Magazine Print Magazine Subscription Details
Regarding the June 30 editorial “Insuring against the future,” this article is another attempt to sell Americans on the notion that fee-for-service is the cause of our healthcare spending woes and must be abolished if we hope to get spending under control.
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