• Which states have banned noncompetes?

    Earlier this year, New York Gov. Kathy Hochul vetoed a bill that would've banned noncompetes and added the state to a short list of those prohibiting noncompetes. 
  • The payer trends defining ASCs

    Two ASC leaders joined Becker's to discuss the payer trends that are affecting ASCs in the most significant ways at the moment. 
  • What ASCs can expect from CMS' latest prior authorization ruling

    CMS has finalized prior authorization and electronic health information policy updates that are expected to create approximately $15 billion in savings over the next 10 years. 
  • nimble solutions appoints CEO

    St. Louis-based nimble solutions, an ASC revenue cycle management company, named Kelley Blair CEO.
  • Bill aims to push price transparency to ASCs

    A bill that would strengthen healthcare price transparency at ASCs has been introduced in the Senate, according to a news release from Indiana Sen. Mike Braun. 
  • ASC suit accusing Elevance of $5.4M+ in unpaid claims revived 

    A circuit court has reinstated a suit from the Costa Mesa, Calif-based South Coast Specialty Surgery Center accusing Blue Cross of California, which does business as Anthem Blue Cross, of racking up more than $5.4 million in unpaid claims. 
  • The payer behavior physicians want changed

    Five physician leaders joined Becker's to discuss the payer behavior they'd like to see changed in 2024. 
  • 3 payer rules that took effect Jan. 1

    This year is shaping up to be a big one for major U.S. payers, with several new rules going into effect. 
  • How ASC leaders, physicians are navigating payer relations in 2024

    The ever-changing payer landscape requires leaders to be nimble in order to navigate it successfully.  
  • FTC noncompete ban: Where the proposal stands 1 year later

    In January 2023, the Federal Trade Commission proposed a rule that would ban noncompete contracts for full-time employees and independent contractors. 
  • UnitedHealthcare vs. Cigna vs. Aetna: 15 updates for 2024

    UnitedHealthcare Group, Cigna and CVS Health-backed insurer Aetna, three of the largest U.S. insurers by membership, each had an eventful 2023. 
  • The Congress members fighting CMS' 2024 pay cuts

    Nearly 200 members of Congress have co-signed a bipartisan letter urging House and Senate leaders to pass legislation addressing 2024's Medicare physician pay cuts, according to a Jan. 4 report from the American Medical Association. 
  • Cigna in 'advanced talks' to sell Medicare Advantage business

    Cigna is reportedly in "advanced talks" to sell its Medicare Advantage business to Chicago-based health insurer Health Care Service Corp., according to a Jan. 3 report from The Wall Street Journal.
  • 5 numbers on HOPD vs. ASC costs

    The reimbursement disparity between hospital outpatient departments and ASCs is frustrating leaders as costs soar. 
  • 3 provider fraud schemes in 5 weeks

    Here are three providers who have been charged or sentenced for their alleged roles in fraud schemes that Becker's has reported on since Dec. 5:
  • Sarasota Memorial, UnitedHealthcare strike outpatient Medicare Advantage agreement

    Sarasota (Fla.) Memorial Health Care System has finalized a new agreement with UnitedHealthcare allowing its urgent care, outpatient facilities and First Physicians Group healthcare providers to remain in-network with UHC's Medicare Advantage plan, according to a Dec. 29 report from the Herald-Tribune. 
  • New York governor vetoes noncompete ban

    New York Gov. Kathy Hochul has vetoed a bill that would have banned all noncompetes, The Wall Street Journal reported Dec. 23.
  • A 2024 Stark law compensation update physicians need to know

    ASCs, physician groups and hospitals can provide non-monetary compensation to physicians up to an amount of $507 for the calendar year 2024, according to a Dec. 27 Lexology report. 
  • Cigna in the headlines: 8 updates in 60 days

    Cigna, which is the fourth largest insurer in the U.S. by membership size, is considering the sale of its Medicare Advantage business.
  • Springfield Clinic, ASCs back in-network with BCBS of Illinois

    Springfield (Ill.) Clinic has reached a new agreement with Blue Cross Blue Shield of Illinois to bring members back in the network beginning Jan. 1, 2024.

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