An examination of medical claims records by federal officials finds that more than half of doctors' claims for patient evaluations and related services had incorrect codes or lacked the necessary documentation. >>>
Data made public by CMS includes information comparing the average hospital charges in 2012 for the 100 most common Medicare inpatient stays at more than 3,000 hospitals. >>>
Pursuing expensive inpatient volume in the traditional sense is a strategic dead end. Any new construction undertaken by hospitals and health systems should be based on adaptability, patient flow, and efficiency gains—not bed count. >>>
CMS may release as soon as this summer new rules for Medicare's gainsharing programs and a decision on whether to launch a second round of Pioneer ACO participant recruitment. >>>
Removing the consumer pinch from narrow provider networks in individual insurance exchanges is a matter of striking a "delicate balance" between payers and the insured, suggests a Robert Wood Johnson Foundation report. >>>
The process is going forward despite the protestations of the American Medical Association, which has complained that CMS "has missed nearly every deadline laid out in the law and regulations to implement it." >>>
IT leaders at healthcare providers are under siege. ROI, legacy systems, cloud software, and the EHR wars are a few of their current concerns. >>>
Date: July 16, 2014, 1:00–2:30 p.m. ET
Health plan leaders from North Shore-LIJ and Sanford Health outline the strategic transition from provider to payer, and new opportunities for controlling costs, managing risk, and maximizing reimbursements.
Register Today >>>
The Hill, June 4, 2014
Bloomberg, June 4, 2014
NPR, June 4, 2014
CBS Los Angeles / Associated Press, June 4, 2014
The Hill, June 3, 2014
The Hill, June 3, 2014
The Washington Post, June 3, 2014
Kaiser Health News, June 3, 2014
Huffington Post / Associated Press, June 2, 2014
Reuters, May 30, 2014
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