CVS-AETNA MERGER GETS NY APPROVAL, TO BE FINALIZED THIS WEEK

Health Leaders by BY JOHN COMMINS | NOVEMBER 26, 2018 The approval from New York comes with a boatload of conditions, including enhanced consumer and health insurance rate protections, privacy controls,…

Continue ReadingCVS-AETNA MERGER GETS NY APPROVAL, TO BE FINALIZED THIS WEEK

Humana, Kaiser Permanente top customer satisfaction index

HEALTHCAREDIVE- AUTHOR -Les Masterson- Nov. 13, 2018 Dive Brief: The health insurance industry is the least satisfying category in any sector, according to the latest report from the American Customer Satisfaction…

Continue ReadingHumana, Kaiser Permanente top customer satisfaction index

Medicare Advantage organizations overturned 75% of their denials, fed investigation shows

Beckers Hospital CFO Report- Written by Kelly Gooch | October 02, 2018 A recent investigation by the U.S. Office of Inspector General found between 2014 and 2016, Medicare Advantage organizations overturned 75 percent of their…

Continue ReadingMedicare Advantage organizations overturned 75% of their denials, fed investigation shows

New Medicare Advantage tool will lower prices, but also limit choice

Benefits PRO - Susan Jaffe | September 19, 2018 at 11:07 AM Under the new rules, private Medicare insurance plans could require patients to try cheaper drugs before moving on to…

Continue ReadingNew Medicare Advantage tool will lower prices, but also limit choice

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.…

Continue ReadingHow Walmart Outflanks Amazon To Win Seniors In Medicare Advantage Plans

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…

Continue ReadingCMS Proposes Site-Neutral Payments, Drug Price Negotiation
Read more about the article CMS Plugs Changes to E/M Coding
Insurers are dropping out of Obamacare. You have questions? We have answers at The Firm Services.

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…

Continue ReadingCMS Plugs Changes to E/M Coding

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…

Continue ReadingCMA News – Coding Corner : Modifier 59

New Medicare Advantage rules hold big potential for pop health

Healthcare Dive- Meg Bryant- June 13, 2018 The push toward valued-based care and population health management has raised visibility around nonmedical conditions that impact health outcomes. Improving health outcomes using population health…

Continue ReadingNew Medicare Advantage rules hold big potential for pop health
Read more about the article Medicare Advantage Change Could Lead To Payments Opportunities
Insurers are dropping out of Obamacare. You have questions? We have answers at The Firm Services.

Medicare Advantage Change Could Lead To Payments Opportunities

PYMNTS - June 7, 2018 One of the latest changes to federal rules regarding non-medical home care services could provide more business opportunity to firms that serve that market and…

Continue ReadingMedicare Advantage Change Could Lead To Payments Opportunities