Sponsored by nimble solutions | Contact us
-
Why ASC leaders have their eyes on Medicare reform
In November, CMS announced plans to reduce overall physician pay by 1.25% in 2024 and update the conversion factor to $32.74, a 3.4% decrease over last year, much to the chagrin of physicians and ASC leaders alike. -
HOPDs vs. ASCs: 10 considerations for 2024
ASC leaders are becoming increasingly frustrated with the reimbursement disparity between hospital outpatient departments and surgery centers. -
5 stats to know on value-based care
Here are five statistics on the adaptation, popularity and potential benefits of value-based payment models to provide insight for ASC leaders: -
Baptist Health confirms split from United, Wellcare Medicare Advantage plans
Louisville, Ky.-based Baptist Health will officially cut ties with UnitedHealthcare and Wellcare's Medicare Advantage plans beginning in January, according to a Nov. 30 report from Louisville Public Media. -
ASCs sharpen strategies to combat payer behavior
ASCs are facing obstacles from payers in many markets to receive the reimbursements leaders say are needed to meet margins. Here is how many leaders are shifting their strategy. -
Where 5 presidential candidates stand on Medicare Advantage
As of the beginning of December, 13 candidates remain in the race for president, including seven Republicans, three Democrats and three independent party members, according to NBC News. -
Texas physician sentenced to prison for opioid scheme
Oscar Lightner, MD, a physician at a Houston pain management clinic, was sentenced to seven years in prison for operating a clinic that sold illegal prescriptions. -
Ascension joins BCBS Oklahoma's Medicare Advantage network
Tulsa, Okla.-based Ascension St. John has joined Blue Cross Blue Shield of Oklahoma's Medicare Advantage network, according to a Nov. 30 report from the Owasso Reporter. -
Georgia Senate committee backs repeal of certificate-of-need laws
A Georgia Senate committee has recommended the repeal of certificate-of-need laws in their entirety, according to a Nov. 29 report from the panel. -
Washington clinic pays $644K to settle allegations it overbilled Medicare, Medicaid
Tumwater, Wash,-based sleep disorder practice Innovative Sleep Centers will pay $644,562 to resolve allegations it improperly billed Medicare and Medicaid. -
BCBS Texas to expand Medicare Advantage coverage
Blue Cross Blue Shield of Texas is expanding its Medicare Advantage coverage for 2024, entering 80 additional counties in the state. -
Florida pushes noncompete ban for physicians
A proposed bill in the Florida House would eliminate noncompete agreements for physicians, NBC affiliate WCTV reported Nov. 29. -
5 CMS moves shaping the ASC industry
Here are five recent CMS moves that are shaping the ASC industry: -
Behind the ASCs facing certificate-of-need obstacles in 2023
Certificate-of-need laws, which require healthcare providers to receive government permission to build facilities, are an obstacle for ASC growth in many markets. -
Reimbursements stifling ASC growth: 5 leaders' thoughts
Five ASC leaders recently joined Becker's to discuss how reimbursement issues remain one of the biggest challenges for surgery centers in many markets. -
New York physician found guilty for kickback scheme
A Kings Point, N.Y.-based physician has been found guilty in a kickback scheme that defrauded Medicaid and subjected patients to procedures they did not need. -
How revenue cycle management can embrace a patient-centered approach
At the Becker's 29th Annual ASC Meeting: The Business and Operations of ASCs, David Law, chief client officer of Zotec Partners, and Lisa Bridwell, client relationship manager at the revenue cycle management company, discussed the importance of a patient-focused approach in revenue cycle management. -
Tennessee system joins Farm Bureau Health Plans' Medicare Advantage network as others bail
Johnson City, Tenn.-based State of Franklin Healthcare Associates has joined Farm Bureau Health Plans' Medicare Advantage network, in a move that comes as several major health systems are shying away from Medicare Advantage partnerships. -
'I have zero faith in our payers': Where ASCs are losing money with reimbursements
ASCs have long faced obstacles to reimbursements, and some leaders are finding increasing obstacles to securing necessary pay for procedures. -
Healthcare exec convicted for $50M Medicare fraud scheme
The chief compliance officer of a pharmacy holding company was sentenced to four years and six months in prison and must pay $21.7 million in restitution for his role in a healthcare fraud scheme.
Page 5 of 93