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Reimbursement news and information

Information
Md. submits plan to update all-payer health system
By Associated Press | October 12, 2013
Maryland has submitted a plan to the federal government to modernize the state's all-payer rate setting system for hospital services, Gov. Martin O'Malley announced Friday.
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Vital Signs
Moody's warns exchanges could carry more short-term risk than benefit
By Beth Kutscher | October 11, 2013
A credit analyst for not-for-profit healthcare providers is cautioning that the new state health insurance exchanges may introduce more short-term risk than benefit.
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Information
Digital Technology Impacting Healthcare | A three-part webinar series
October 10, 2013
Digital Technology Impacting Healthcare is a Modern Healthcare three-part webinar series sponsored by the Greater New York Hospital Association (GNYHA).
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Magazine
Healthcare's Hottest No. 19 (tie): Health Systems International
By Modern Healthcare | September 28, 2013 | Print Magazine Print Magazine Subscription Details
What it does: Health Systems International provides medical cost-management services to healthcare payer organizations.
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Magazine
Healthcare's Hottest No. 11: BioRx
By Modern Healthcare | September 28, 2013 | Print Magazine Print Magazine Subscription Details
b>What it does: BioRx distributes specialty pharmaceuticals and supplies and provides clinical, reimbursement and in-home support services for the treatment of hemophilia, AAT deficiency, severe nutritional deficiencies and other afflictions.
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Information
Mass. trying to mesh state health law with federal
By Steve LeBlanc / Associated Press | September 28, 2013
Massachusetts finds itself in a unique position as states gear up to launch new insurance marketplaces under President Barack Obama's healthcare law.
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Information
Cleveland doctor facing fraud charges
By Associated Press | September 28, 2013
A Cleveland doctor is facing fraud charges after federal prosecutors accused him of getting $7.5 million in Medicare reimbursements for more than 17,000 Botox injections he allegedly never gave.
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Magazine
Late News: Delay 'two-midnights' rule, pay cut, providers tell CMS
By Joe Carlson | September 28, 2013 | Print Magazine Print Magazine Subscription Details
Audits or not, providers want the CMS to hold off on the new “two-midnights” rule for outpatient observation claims and change course on an accompanying reimbursement cut. Attempting to answer widespread anger among hospitals and doctors about the policy, CMS officials said that
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News
HMA gets legal, financial advice on CHS takeover offer
By Beth Kutscher | September 25, 2013 | Basic Web Basic Web Subscription Details
Health Management Associates' newly elected board of directors has retained new financial and legal advisers to evaluate the $3.9 billion takeover offer from Community Health Systems. And a new filing with the Securities and Exchange Commission reveals that HMA previously engaged in merger talks...
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Magazine
Managing population health | Docs look at why it's such a struggle to prevent disease
By Modern Healthcare | September 21, 2013 | Print Magazine Print Magazine Subscription Details
Population health is more than a buzzword. The nation is experiencing an obesity epidemic, the continued ill effects of smoking and environmental pollution, and the social stresses of a lingering economic downturn. The nation's public health authorities...
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