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Not Just RACs: Providers Must Prepare for MICs Too
Providers nationwide are certainly familiar with Recovery Audit Contractors, or RACs. But perhaps less familiar are...
From the hospital room to bankruptcy court
In the campaign to broaden support for the overhaul of American healthcare, few arguments have packed as much...
Escalating Medicare and Medicaid Auditing on the Horizon
It's no longer just RAC, MAC, CERT, and ZPIC audits looking to ensure the accuracy of Medicare payments. Providers are...
Medicare bills high at Los Angeles hospitals
Some experts say high costs for patients at big-city hospitals reflect a free-spending, out-of-control medical...
Suit Alleges NJ Insurer Intimidated ED Patients
The legal fisticuffs between Bayonne (NJ) Hospital Center and Horizon Blue Cross Blue Shield of New Jersey went to the...
Red Tape Snarls Billions of Healthcare Dollars
Reducing administrative red tape by just 10% could remove as much as $500 billion over 10 years from the nation's...
Magazine: Health Plans: The Big Switch
Many health plans are struggling to retain members who retire or lose group coverage, but there are steps that payers...
Magazine: Quality: Partners in Improvement
Some new collaborations offer hope that provider and payer organizations can make headway in the quality realm beyond...
Magazine: Armchair Finance
Throwing Stones at the Big Boys: People tell me major health insurers are "rackets" more often than you might think...
Magazine: Scanning Slowdown
Insurers hope preauthorizations can contain rising diagnostic-imaging costs, but many physicians remain leery.

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...
Book: Healthcare Price, Cost & Utilization Benchmarks, Volume VI
Whether you are a healthcare provider or a managed care organization, up-to-date benchmarks are critical to successful...