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Are payers pushing procedures to ASCs?
Two leaders joined Becker's to discuss whether payers are pushing procedures to ASCs and other outpatient settings. -
Payer policies nudging patients outside of hospital settings
Payers are increasingly issuing policies that push patients outside of hospital settings, according to Laren Tan, MD, chair of Loma Linda (Calif.) University Health's department of medicine. -
3 fast facts on prior authorization
Here are three fast facts on prior authorization: -
Mississippi updates ASC controlled substance distribution rules
The Mississippi State Board of Medical Licensure and the Board of Pharmacy have issued a joint statement on its compliance rules for ASCs dispensing controlled substances, JDSupra reported Nov. 9. -
Payers putting 'downward pressure' on ASCs: How leaders are looking at payer behavior
ASCs have historically faced obstacles to reimbursements, and ASCs in some markets are seeing increased pressure from payers. -
Colorado uses cash incentive to drive down healthcare cost
The Colorado Purchasing Alliance created an initiative that allows employers in the state to negotiate lower prices for healthcare services through a cash incentive, the Kaiser Family Foundation reported Nov. 2. -
Healthcare is seeing ''astronomical financial losses in 2022': 3 leaders' thoughts on revenue
Three ASC leaders joined Becker's to discuss the financial losses providers are seeing in 2022: -
3 fast facts on ASC operating costs
Here are three breakdowns of ASC operating costs to know: -
CMS bumps ASC payments to 3.8 percent in final rule
CMS updated ASC payment rates to 3.8 percent in its 2023 "Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Proposed Rule." -
ASC that closed due to 'adverse business conditions' struggling to collect payments
The Surgery Center of Fort Collins (Colo.) is working on collecting past due bills more than two months after it announced it was closing for good, BizWest reported Oct. 26. -
UnitedHealth vs. Centene vs. Elevance in Q3
Payers UnitedHealth, Elevance (formerly known as Anthem) and Centene are some of the largest insurers by membership. -
3 physician, PA fraud cases in 3 weeks
Becker's has reported on three physician or physician assistant fraud cases since Oct. 6. -
Elevance Health facing Medicare fraud suit, and 4 more updates
Here are five updates from Elevance Health, formerly Anthem, since Oct. 5. -
One ASC leader's tips for lowering operating costs
Prashanth Bala, vice president of ASC operations at Shields Health in Quincy, Mass., spoke with Becker's Oct. 21 to discuss tips for lowering ASC operating costs. -
Physician pay is decreasing in these specialties
Physician pay is decreasing in four specialties, according to Merritt Hawkins and AMN Healthcare's 2022 "Review of Physician and Advanced Practitioner Recruiting Incentives." -
94% of physicians live at or below their means
Ninety-four percent of physicians live at or below their means, according to Medscape's 2022 "Physician Wealth & Debt Report." -
Physicians' cost cutting tactics
In its 2022 "Physician Wealth & Debt Report," Medscape surveyed physicians on their compensation and how they manage their money. -
Aetna in the headlines: 9 updates in 30 days
Here are nine recent stories Becker's has covered about Aetna and its parent company, CVS Health, in the last 30 days: -
Prior authorization largest regulatory burden for group practices: survey
Eighty-two percent of group practice executives say prior authorization is very or extremely burdensome, according to the Medical Group Management Association's "Annual Regulatory Burden Report." -
76% of executives say value-based payment increased regulatory burdens: survey
As healthcare continues to move toward value-based care, payment based on the model remains a point of contention, according to the Medical Group Management Association's "Annual Regulatory Burden Report."
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