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Hospital monopolies ruin MRI bill as Sutter gets price it wants
After Mark Logsdon tore a ligament in his knee skiing at Lake Tahoe in March, he returned home to suburban Sacramento...
Hospitals say more insured patients can’t pay
It's no surprise that the struggling economy has made it harder for hospitals to collect money from patients who have...
Blue Cross of MA agrees to reduce rate increase
Blue Cross Blue Shield of Massachusetts, the state’s largest health insurer, has agreed to reduce a dramatic rate...
Health pilot eyes a new approach to reimbursement
Pay-for-performance may be coming to New Hampshire’s healthcare industry. Under a five-year pilot program...
Humana, University of Louisville feud costs patients
--> Thousands of Humana customers should expect to pay more to visit University of Louisville doctors starting...
Premera, Seattle doctors duking it out over payment rate
The feud between Premera Blue Cross and Seattle-based Proliance Surgeons erupted last summer when Proliance walked out...
Tufts Medical, Blue Cross negotiations break down
The breakdown in contract talks between Boston’s Tufts Medical Center physicians and Blue Cross and Blue Shield...
Eastern Connecticut Health Network, CIGNA reach agreement in principle
CIGNA HealthCare and Eastern Connecticut Health Network have reached an agreement that will allow thousands of patients...
Aetna and BayCare hospitals far apart on contract
Aetna, health insurer to about 300,000 people in the Tampa Bay, FL, area, has notified several employers that BayCare...
Ohio pharmacists want to expand role with patients
Ohio pharmacists say that if insurers payed them to have one-on-one time with patients with chronic diseases and on...

Newsletter: Managed Care Contracting and Reimbursement Advisor
Managed Care Contracting & Reimbursement Advisor tells you exactly what you must know and do to successfully negotiate...
Book: The New Era of Healthcare: Practical Strategies for Providers and Payers
This book focuses on methods to forge a partnership between healthcare providers and managed care payers. It contains...
Continuing Education: Level of Care Determinations for 2014: Las Vegas, NV
Attend the half-day seminar, Outpatient, Observation or Inpatient? Continuing to Walk the Tightrope of Regulatory...
Continuing Education: OPPS and IPPS Reimbursement Fundamentals: Las Vegas, NV
Attend OPPS and IPPS Reimbursement Fundamentals, a half-day seminar on October 2nd in Las Vegas. Learn how CMS...
Webcast: Value-Based Purchasing and Documentation Improvement
If your CDI program has not incorporated value-based purchasing (VBP) measures into its review efforts, now is the time...
Audio Conference: 2014 IPPS Final Rule Explained
The sheer volume of new payment and quality information, along with new patient status proposals that will be in the...
Audio Conference: Recovery Auditor Update: Changes to the Appeals Process and Payment Reviews
In this 90-minute audio conference, experts Debbie Mackaman, RHIA, CHCO, and Ralph Wuebker, MD, MBA, provide an...
Newsletter: Managed Care Contracting and Reimbursement Advisor
Managed Care Contracting & Reimbursement Advisor tells you exactly what you must know and do to successfully negotiate...