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The fight for fair ASC, physician pay: Behind the scenes with Dr. Adam Bruggeman
Adam Bruggeman, MD, of Texas Spine Care Center in San Antonio, shared insight about the government and private payer landscape related to physicians and ASCs at the 19th Annual Spine, Orthopedic & Pain Management-Driven ASC event. -
Anti-kickback law at a state level: 3 things to know
Though the Anti-Kickback Statute is federal law, it plays out differently from state to state. -
What the anti-kickback law means for physicians
The federal healthcare Anti-Kickback Statute targets bribery and corruption within healthcare, according to a June 13 post from JD Supra. -
5 prior authorization moves to know
Here are five prior authorization updates Becker's has reported on since May 25: -
Congress pushes to lessen prior authorization burden for providers
More than 230 U.S. Representatives and 61 Senators have authored letters urging CMS and the Department of Health and Human Services to finalize a proposal that would require insurers to streamline the prior authorization process for federally sponsored health plans. -
Nursing facility, management company settle physician kickback allegations for $3.8M
Alta Vista Healthcare & Wellness Centre, a skilled nursing facility in Riverside, Calif., and its management company, Rockport Healthcare Services, agreed to pay the U.S. and California $3.825 million to resolve kickback allegations. -
Where are physicians losing money?
Eleven percent of physicians attribute financial losses to practice issues such as business problems, reimbursement changes and a change in practice setting, according to Medscape's "Physician Wealth & Debt Report 2023." -
18 states with the most medical debt
The Commonwealth Fund released the 2023 Scorecard State Health System Performance report, examining quality healthcare access and affordability by state. -
Physicians say HCA hospitals push patients to hospice care for metrics
Physicians have alleged that executives within Nashville, Tenn.-based HCA Healthcare pressure hospital staff to persuade patients' families to initiate end-of-life care to boost metrics, according to claims made in a June 21 NBC News report. -
How a new Stark Law exception could help physicians
The Consolidated Appropriations Act of 2023 updated exceptions to Stark Law and Anti-Kickback law that will allow hospitals and healthcare providers to improve mental health services for physicians, attorneys from law firm ArentFox Schiff wrote in an article published by JDSupra on June 13. -
Optum plans for continued hip, knee ASC volume growth
OptumHealth's network of providers and surgery centers is seeing strong outpatient surgery volumes, especially for hips, knees and senior services. -
How physician can become 'captains of their own fates' once more
Harry Severance, MD, an adjunct assistant professor at Durham, N.C.-based Duke University School of Medicine, joined Becker's to discuss how physicians can leverage their power. -
Medicare reimbursements: 5 notes to know
Physicians and ASCs continue to raise concerns about the adequacy of Medicare reimbursement as operating costs continue to soar. -
Outpatient site-neutral pay pitched (again) to CMS: 5 notes
MedPAC advocated for site-neutral pay for 66 outpatient procedures in a June 15 report, lowering 57 procedures to the office-based care rate and nine procedures to ASC rates. -
5 antikickback suits to know
Here are five healthcare antikickback cases to know from the last month: -
Ohio bill seeks to improve prior authorization process
The Ohio Legislature has introduced a new bill designed to streamline the prior authorization process by giving a yearlong exemption to providers who have an average of 80 percent or more of their requests approved, according to a June 12 report from NBC affiliate WKYC. -
Aetna in the headlines: 4 updates in 60 days
Here are four stories Becker's has covered about CVS Health's insurance company, Aetna, since April 20: -
Physicians want a noncompete ban now. Here's why.
The American Medical Association is taking action to ban noncompete contracts for physicians employed by for-profit or nonprofit hospitals, hospital systems or staffing company employers, according to a June 13 blog post from the AMA. -
2 payers delaying policy changes following industry pushback
Two major national payers, UnitedHealthcare and Cigna, recently switched or delayed planned policies due to pushback from industry leaders, patients and physicians. -
Why 'ASCs will be squeezed out' of healthcare if things don't change
The future of ASCs heavily depends on the outcome of the struggle for better payments.
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