Sponsored by nimble solutions | Contact us
-
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. -
Stark law: Where it stands and where it's headed
Stark law, which prohibits physicians from making referrals for many Medicare-payable services to an entity if the physician or immediate family member has a financial relationship with it, has seen a year of changes and updates to policy exceptions and statutes. -
New York noncompete ban sent to governor: 5 things to know
New York lawmakers on Dec. 12 sent a bill banning noncompete agreements to Gov. Kathy Hochul for her signature, lawfirm Ogletree, Deakins, Nash, Smoak & Stewart said in a Dec. 15 article in JDSupra. -
The 'exploitative practice' of noncompetes: 5 key statistics
In its January proposal to ban noncompetes, the Federal Trade Commission calls the policy "a widespread and often exploitative practice that suppresses wages, hampers innovation and blocks entrepreneurs from starting new businesses." -
Physicians hoping for payer negotiations in 2024
Several major payers have faced criticism in 2023 for reimbursement and prior authorization changes within the gastroenterology space. -
Certificate-of-need laws: Where they stand and where they're headed
Certificate-of-need laws, which govern where providers can build facilities, have been an obstacle to ASC growth for years, but many leaders are hopeful about the policy changes made in 2023. -
Low reimbursements a thorn in the side of physicians
As operating costs continue to rise, low reimbursements weigh heavily on physicians. -
Medical device company settles false claims allegations
Dolor Technologies has entered a settlement agreement to resolve false claims allegations relating to a device it sold to treat migraines. -
2 ASCs file complaint against Arkansas BCBS over COVID-19-era reimbursements
Two Little Rock, Ark.-based ASCs — Freeway Surgery Center and Centerview Surgery Center — have filed a complaint against Arkansas Blue Cross and Blue Shield of Little Rock, the state's largest health insurance company, over millions of dollars in unpaid reimbursements for procedures performed during the peak of COVID-19, according to a Dec. 11 report from Arkansas Business. -
The Medicare Advantage market in 2023: 5 things to know
The American Medical Association has identified the insurance industry giants with the largest shares of the commercial health insurance, Medicare Advantage and public health exchange markets in 2023. -
MedPAC urges physician pay increases: 3 things to know
MedPAC is urging Congress to increase Medicare pay in its 2025 payment update recommendations drafted Dec. 8. -
Amazon, CVS Health and Optum: How the big 3 took on value-based care in 2023
Amazon, CVS Health and Optum are no strangers to value-based care. Here's how they dug deeper into the model in 2023:
Page 10 of 99