CMS reimbursement
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Outside The Four Walls – It’s Where Medicine Is Going
In 2-3 years, 50% of the reimbursement a hospital receives for most Medicare patient stays […]
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Medicare pushes start date of bonus/penalty plan to 2016 for mid-size doctor groups
Medicare is accelerating plans to peg a portion of doctors’ pay to the quality of their care.
The changes would affect nearly 500,000 physicians working in groups. The federal health law requires large physician groups to start getting bonuses or… -
Payer’s Place: Dawn Maroney
Dawn Maroney, President, Markets of Alignment Health and CEO of Alignment Health Plan, to discuss how they are using technology to provide better service and care to consumers.
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MedPAC: Medicare’s re-admission penalties too harsh for hospitals serving the poor
The financial penalties that Medicare imposes on hospitals with high rates of patient readmissions are too harsh for hospitals serving the poor and should be changed, according to a congressional advisory agency.
Since last fall, Medicare has been red… -
Lawsuit aims to overturn Medicare rules for “observation” care
Hospitals don’t have to tell patients they are under “observation” care and Medicare will not cover the costs of that care if the patient is not admitted. Patients who are not admitted for at least three consecutive days do not qualify Medicare’s nursing home coverage. Advocates have filed a lawsuit to change these rules.
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Hospitals, MedCity Influencers, Payers, Policy
The “right” to healthcare does not require a doctor to work for free
After the election, a lot of people are excited that they can now get healthcare. […]
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AHA sues Medicare over audit program aimed at trimming improper payments
The American Hospital Association sued the agency that oversees Medicare, saying an audit program is depriving hospitals of reimbursements for care they provide.
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Analyst: Edwards Lifesciences’ missed TAVI sales akin to U.S Ryder Cup loss
Losing the Ryder Cup this year to the Europeans was every bit unexpected. Almost as […]
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Hospitals, MedCity Influencers, Policy
What’s the best way to avoid Medicare readmission penalties? Stop trying
As a cardiac electrophysiologist, I’m pretty far removed from public policy. But I have to […]
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Health IT, Hospitals, Startups
Mayo, S.F. startup launch health IT tool to track data around cardiology patient readmits
The Mayo Clinic announced Monday that it is partnering with a California startup that aims […]
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Applying Remote Patient Monitoring to Surgery Prep and Recovery, Oncology and Women’s Health
Join us to learn about the latest trends in remote monitoring and how to extend its benefits beyond chronic conditions to more patients – all while using fewer staff resources.
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New Tool to Help Physicians Get Maximum Reimbursement
The U.S. health care industry has evolved and changed rapidly over the past several decades. This evolution took place in response to a number of environmental influences including, technological advances, demographic shifts, and economic and political changes.
Promoted
Payer’s Place: Dr. Anil Singh
Dr. Anil Singh shares his insights into the strategies employed by the organization to identify the most effective digital solutions for their members.
Promoted
Discover the Next-Gen Platform for Integrated Collaborative Care
Beyond EHRs and digital front doors, reducing the gaps in patient care journeys.
