Push the envelope when contracting with highly scrutinized payers
In recent months, managed care payers have been riddled with lawsuits, investigations, and fines regarding the transparency of physician quality ratings, the criteria used to assign physicians to tiered networks, the mishandling of claims payments, and the violation of the Racketeer Influenced and Corrupt Organizations Act—commonly known as RICO—to deny and delay physician payments. And payers’ reputations are reeling.
- mHealth Tackles Readmissions
- 'Kafkaesque' Value System Unfairly Penalizes Doctor Pay
- CNO Leads $1M Charge for New Scrubs, Uniforms
- Targeting Self-Insured Populations
- MA an Insurance Proving Ground for Providers
- Proton Beam Therapy Poised for Growth in US
- Sharp HealthCare Leaves Pioneer ACO Program
- Some Cancer Hospitals' Quality Data Will Soon Be Public
- Half of All Primary Care, Internal Medicine Jobs Unfilled in 2013
- Docs Fret as HHS Addresses Malpractice Reporting 'Loopholes'