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AMA, MedPAC push for Medicare reimbursement reform
The American Medical Association backed the Medicare Payment Advisory Commission's recommendations for Congress to reform Medicare payments. -
Stark law settlements hit a record $12.6M: What to know
CMS settled a record-breaking $12.56 million in Stark law voluntary self-referral disclosure settlements in 2022, according to recent CMS data. -
Noncompetes have 'handcuffed' physicians: Viewpoint
Physicians, state governments and the Federal Trade Commission are all battling to reform policy surrounding noncompete clauses, which prohibit physicians from seeing patients one to two years within a geographic region if they are fired or quit their job. -
Who's facing noncompete lawsuits?
Noncompete clauses are facing increasing scrutiny, as physicians, states and even the Federal Trade Commission look to reform policy. -
5 numbers on the rise of Stark law violations
Hospitals, health systems and physicians faced big Stark law penalties in 2023. -
ASC growth could hinge on this policy
Patient and provider interest in ASCs is rising, but markets that have stringent certificate-of-need laws could struggle, leaders say. -
Payers are looking to ASCs — here's why
ASCs are becoming an increasingly popular site of service for patients, and payers are taking note. -
6 problems with Medicare physician payments, per the AMA
Physicians have continued to see Medicare payment cuts year over year, with a 2% cut in 2023 being followed by a 1.68% cut in 2024, according to an April 8 report from the American Medical Association. -
10 notes on physician pay cuts
Medicare pay cuts are making it difficult for many smaller, independent physician practices to meet margins. -
What would happen if physicians no longer accepted Medicare?
Becker's connected with M. Shafeeq Ahmed, MD, president of Johns Hopkins Howard County Medical Center in Columbia, Md., to discuss the risks the increasing number of physicians electing not to accept payments from Medicare poses to care delivery as a whole. -
Health systems considering dropping Medicare Advantage: What ASCs need to know
Nearly half of health systems are considering dropping Medicare Advantage, according to a survey from the Healthcare Financial Management Association and Eliciting Insights. -
15% of claims denied regardless of prior authorization: 5 notes
Approximately 15% of all medical claims sent to insurers are denied, including claims that were pre-approved, according to a recent report by healthcare solutions and research company Premier. -
Where noncompetes could be banned next
Maine is poised to be the next state to ban noncompete agreements, the National Law Review reported March 25. -
Stark law's unintended consequences
Some of the largest recoveries by the Justice Department in the last year were Stark law violations, and some leaders worry the policy is hurting physicians rather than preventing corruption. -
CMS moves that are hurting, helping physicians
CMS moves are changing the way physicians practice. Here are four recent moves from CMS that are either helping or hurting physicians: -
The latest on prior authorization reform
The push to revamp prior authorization practices has picked up steam recently. -
New York City considers own noncompete ban following governor's veto
The New York City Council is considering bills that would ban noncompetes after Gov. Kathy Hochul in December vetoed a bill that would have prohibited them statewide, Newsday reported March 17. -
Washington strengthens noncompete restrictions
A bill amending Washington's noncompete policy was signed into law by Gov. Jay Inslee on March 13, according to a news release from the Washington Senate Democrats. -
Florida's physician noncompete ban stalls
The Florida Legislature declined to pass two laws banning noncompetes for physicians and doctors of osteopathic medicine, law firm McDermott Will & Emery said in a March 12 blog post. -
The CMS moves helping, hurting ASCs
Here are six CMS moves that are helping and hurting ASCs.
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