Highmark won't pay hospital rates for care in physician offices
Health systems across the country are buying out private doctor practices and reclassifying them as hospital-outpatient departments — a move that critics say allows hospitals to bill higher rates without providing more sophisticated care. The problem has been particularly widespread with oncology practices, according to Highmark Inc., the largest health insurer in Pennsylvania, which on Wednesday fired the first shot in what's expected to be a major battle between insurers and hospitals over the controversial practice. Starting April 1, Highmark will stop reimbursing health systems at higher hospital-outpatient rates for cancer treatment performed in physician offices. The move may also cause a domino effect in the industry, observers said.
- CNO Leads $1M Charge for New Scrubs, Uniforms
- NFP Hospitals' Revenue Growth at 'All-Time Low'
- Transforming Cancer Care
- Acute Kidney Injury Gets New Focus
- Interventional Radiology No Longer a Sub-Specialty
- Sharp HealthCare Leaves Pioneer ACO Program
- Half of All Primary Care, Internal Medicine Jobs Unfilled in 2013
- mHealth Tackles Readmissions
- MA an Insurance Proving Ground for Providers
- Proton Beam Therapy Poised for Growth in US