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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Read more about the article CMS is allowing Medicare Advantage plans to cross negotiate Part B and D drug prices
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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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Read more about the article CMS Proposes New Reimbursement Cuts for 2019 Medicare OPPS –
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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…

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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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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…

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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…

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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…

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House GOP plan would cut Medicare, Medicaid to balance budget

Washington Post -  Erica Werner -June 19 at 4:48 PM House Republicans released a proposal Tuesday that would balance the budget in nine years — but only by making large…

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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…

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Read more about the article Medicare Advantage Change Could Lead To Payments Opportunities
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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…

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