Urgent Care Insurance Claims Rise Sharply, Faster than ED

Media Health Leaders- Gregory A. Freeman, March 26, 2018  Insurance claims for urgent care exploded over a nine-year period, rising much faster than claims for emergency care. Private insurance claim lines…

Continue ReadingUrgent Care Insurance Claims Rise Sharply, Faster than ED

Doctors advocate overhauling some Medicare billing codes

Modern Healthcare- By Virgil Dickson  | March 22, 2018 Lowering documentation standards for a commonly used set of billing codes would lead to better quality of care, doctors told the CMS during a conference…

Continue ReadingDoctors advocate overhauling some Medicare billing codes
Read more about the article Insurers Gobble Doctor Practices To Bolster Medicare Advantage Plans
Confused about Medicare / Medicaid issues? Ask the experts at The Firm Services

Insurers Gobble Doctor Practices To Bolster Medicare Advantage Plans

Forbes- Bruce Japsen - MAR 12, 2018 @ 08:00 AM News that Centene is buying a large medical group is the latest sign that health insurers are engaged in a…

Continue ReadingInsurers Gobble Doctor Practices To Bolster Medicare Advantage Plans

What merger mania means for health care

CNN Money- by Paul R. La Monica- March 8, 2018: 12:32 PM ET Get ready for another wave of massive health care deals -- and maybe this time the government will approve…

Continue ReadingWhat merger mania means for health care

Google sister-company Verily is plotting a move into a fast-growing corner of the health insurance industry

CNBC -Christina Farr | @chrissyfarr -Updated 11:27 AM ET Tue, 27 Feb 2018 Verily's new hires and partnerships point to a move into health insurance. The company is looking to…

Continue ReadingGoogle sister-company Verily is plotting a move into a fast-growing corner of the health insurance industry

Trump plan: Less health insurance for lower premiums

By RICARDO ALONSO-ZALDIVAR, ASSOCIATED PRESS WASHINGTON — Feb 20, 2018, 4:49 PM ET The Trump administration Tuesday spelled out a plan to lower the cost of health insurance: give consumers…

Continue ReadingTrump plan: Less health insurance for lower premiums

California’s two health insurance regulators to investigate Aetna coverage decisions

LA TIMES - By BARBARA FEDER OSTROV- FEB 12, 2018 | 7:50 PM Both of California's health insurance regulators said they will investigate how Aetna Inc. makes coverage decisions, as the lawsuit…

Continue ReadingCalifornia’s two health insurance regulators to investigate Aetna coverage decisions
Read more about the article The Future of Healthcare Could Be a Privacy Nightmare
Privacy on keyboard

The Future of Healthcare Could Be a Privacy Nightmare

TONIC - Susan Rinkunas -Feb 8 2018, 10:54am The Amazon healthcare effort and CVS-Aetna merger raise lots of questions. Last Tuesday, Amazon, JP Morgan, and Berkshire Hathaway announced that they…

Continue ReadingThe Future of Healthcare Could Be a Privacy Nightmare

Amazon, Berkshire Hathaway and JPMorgan Team Up to Try to Disrupt Health Care

NY Times- By NICK WINGFIELD, KATIE THOMAS and REED ABELSON JAN. 30, 2018 SEATTLE — Three corporate behemoths — Amazon, Berkshire Hathaway and JPMorgan Chase — announced on Tuesday that they…

Continue ReadingAmazon, Berkshire Hathaway and JPMorgan Team Up to Try to Disrupt Health Care

When your insurer denies a valid claim because of ‘lack of medical necessity’

Los Angeles Times- By DAVID LAZARUS -JAN 23, 2018 | 3:00 AM We learned last week that roughly 3.2 million more Americans were uninsured in 2017 — hard data attesting to…

Continue ReadingWhen your insurer denies a valid claim because of ‘lack of medical necessity’