A Little-Known Windfall for Some Hospitals, Now Facing Big Cuts
New York Times - By Austin Frakt- Aug. 29, 2018 A program meant to help the poor has grown beyond its original intent. Most hospitals are nonprofit and justify their exemption…
How Walmart Outflanks Amazon To Win Seniors In Medicare Advantage Plans
Forbes -Bruce Japsen- Contributor - Aug 21, 2018, 08:09 am Walmart is establishing closer ties with seniors covered by Medicare Advantage plans, an increasingly popular health plan choice for millions of U.S.…
Alphabet’s $375 million investment in Oscar Health will expand insurer into Medicare Advantage
HEALTHCARE FINANCE- Susan Morse - AUGUST 14, 2018 Oscar says it uses technology to lower cost: More than 60 percent of member interactions with health systems are virtual. Alphabet's $375 million…
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CMS is allowing Medicare Advantage plans to cross negotiate Part B and D drug prices
Healthcare Finance - Susan Morse, Senior Editor - August 07, 2018 Starting in 2019, insurers may use step therapy to choose the least expensive drug first before moving on to another…
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CMS Proposes New Reimbursement Cuts for 2019 Medicare OPPS –
LEXOLOGY- Vorys Sater Seymour and Pease LLP- AUGUST 01,2018 On July 31, 2018, the Centers for Medicare and Medicaid Services (CMS) published its proposed changes to the Medicare hospital outpatient prospective…
CMS Proposes Site-Neutral Payments, Drug Price Negotiation
HealthPayer Intelligence- Thomas Beaton- July 26,2018 A proposed rule from CMS aims to expand the use of site-neutral payments, and drug price negotiation at the federal level, to reduce Medicare…
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CMS Plugs Changes to E/M Coding
by Shannon Firth, Washington Correspondent, MedPage Today- July 18, 2018 Agency argues that streamlined billing codes will reduce physician burden WASHINGTON -- Administration officials sought to explain the nuts and bolts…
CMA News – Coding Corner : Modifier 59
California Medical Association News - Coding Corner: Modifier 59 -May 01, 2018 | Practice Management CPR’s “Coding Corner” focuses on coding, compliance, and documentation issues relating specifically to physician billing. This…
Legal Compliance: One More Reason to Collect Patient Deductibles and Copays
WEBPT - By Tom Ambury - June 24, 2018 Collecting coinsurance, copays, and deductibles upfront is an important piece of the effort to accurately value the services we provide. And yet, we…
Tech company once lauded for growth shutters Tampa office suddenly, leaves over 100 without jobs
By Janelle Irwin – Reporter, Tampa Bay Business Journal-Jun 21, 2018, 6:55pm EDT Updated Jun 22, 2018, 12:47pm Health care technology firm CareSync closed its doors on Thursday despite previously…
