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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. -
Connecticut set to loosen physician noncompete requirements: 5 things to know
The Connecticut Legislature has passed a bill amending the state's physician noncompete statute, attorney Justin Theriault of law firm Jackson Lewis P.C. wrote in an article published by JDSupra on June 12. -
6 major payers secure spot on Forbes' Global 2000
Forbes has released its annual Global 2000, a ranking of the world's largest companies based on metrics including sales, profits, assets and market value. -
Supreme Court false claims ruling could raise stakes for physician billing
The Supreme Court voted unanimously to reopen two false claims cases, issuing an opinion that could expand antifraud statute scope, Medscape reported June 13. -
Aideo, Surgical Notes partner for AI medical coding
Artificial intelligence-powered coding services provider Aideo Technologies has partnered with Surgical Notes, a leader in providing billing solutions for ASCs, to bring AI-powered medical coding workflow and productivity solutions to the ASC market. -
Physician indicted in $4M+ Medicare fraud scheme
Physician David Becerril, MD, has been charged with 16 counts for his role in a telemarketing scheme that allegedly defrauded Medicare of more than $4 million. -
Here's what the most commonly performed ASC procedure costs at ASCs vs. HOPDs
The most commonly performed ASC procedure is an extracapsular cataract removal with insertion of intraocular lens prosthesis, according to data from Definitive Healthcare. The average cash price of a cataract eye surgery is $2,733 at ASCs, versus $3,995 at hospital outpatient departments, according to data from Sidecar Health's care price calculator. -
5 recent CMS updates to know
Here are five updates from CMS that Becker's has reported on since June 6: -
Why a lack of ASCs could be driving up healthcare costs in Massachusetts
Massachusetts' high healthcare prices and the financial burden it has consequently placed on patients is causing state lawmakers to take a hard look at healthcare spending, WBUR reported June 8. -
Certificate-of-need laws stunt ASC growth — but change in some states may be imminent
The growth of ASCs reflects their status as a proven model for high-quality procedures and low costs, but their development faces a considerable obstacle in many markets: certificate-of-need laws. -
Average Medical Office Operating Expenses & How To Increase Your Profit Margin
Whether you’re thinking of starting a medical practice or you want to optimize your current medical office operating expenses, you should know what costs to include in your calculations. -
UnitedHealth in the headlines: 8 updates in 60 days
UnitedHealth Group, parent company of ASC management company United Surgical Partners International, has continued its growth, both in terms of revenue and number of affiliated physicians. -
'When we got into this game, it was all just ophthalmology': The complications of ASC billing
Philip Blair, CEO of Surgery Center Services of America, spoke with Becker's about his ASC companies' biggest growth targets and why cardiology is so important for ASCs. -
CMS adds physician owner waiver for Stark law
CMS added a Stark law waiver for physician owners of independent free-standing emergency departments that served Medicare patients during the COVID-19 pandemic, according to an article written by three attorneys from the firm McDermott, Will & Emery and published in Lexology on June 2. -
The 20 largest payers by claims
California-based Kaiser Permanente Health Plans is the largest payer in the U.S., covering about 9,257,115 patients and incurring $48.19 billion in claims, according to data published Feb. 20 by Definitive Healthcare. -
'They don't really know who we are': Why Texas legislators are being hostile to ASCs
Texas ASC leaders are seeing a growing amount of hostile state legislation. -
Behind Texas' 'unfriendly legislative session' to ASCs
Texas' price transparency laws are burdening ASCs, many leaders say.
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