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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. -
The benefits of partnering with collections agencies, per 1 group
An often-overlooked part of running a practice is how to handle billing and collections. Having a partnership with a collections agency is something practices should consider, according to a Nov. 6 post by Anesthesia Business Consultants on its website. -
Physician convicted in $145M fraud scheme
Two pharmacy owners and a physician have been convicted for their role in a healthcare fraud, money laundering and tax evasion scheme. -
Certificate-of-need laws by the numbers
Here are five numbers about certificate-of-need laws that ASC leaders should know: -
4 senators introduce legislation to improve Medicare Advantage transparency
U.S. Senators Bill Cassidy, MD, Catherine Cortez Mastro, Elizabeth Warren and Marsha Blackburn have introduced bipartisan legislation to improve the transparency of Medicare Advantage plans. -
Which states are targeting noncompetes?
The Federal Trade Commission proposed a rule in January that would keep employees free from noncompete agreements nationwide. -
Lawsuit alleges UnitedHealth used AI to wrongfully deny claims
Insurance giant UnitedHealth Group is facing a lawsuit alleging it used an artificial intelligence algorithm to wrongfully deny coverage to older patients for care under its Medicare Advantage health policies, Bloomberg Law reported Nov. 14. -
Value-based care lowers costs, improves patient outcomes: Report
A 2023 report from insurer Humana shows that Medicare Advantage patients receiving care through value-based arrangements spend more time with their physicians and have better care outcomes than their non-value-based counterparts. -
Justice Department files motion to dismiss SCA Health antitrust case
The Justice Department filed to dismiss the government's indictment against Deerfield, Ill.-based ASC chain SCA Health, formerly Surgical Care Affiliates, for allegedly agreeing with competitors to not poach senior-level employees. -
59 procedures added to ASC payable list in last 5 years
The CMS ASC payable list has seen sizable change in the last five years — through both additions and removals. -
HHS inspector general's latest anitkickback ruling: What ASCs need to know
HHS' Office of Inspector General has issued an advisory opinion on a new safe harbor to kickback laws that aims to increase quality while reducing costs, according to a Nov. 14 article in JDSupra from law firm WilmerHale.
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