A report from the AMGA 2023 Medical Group Operations and Finance Survey shows that the operational costs for medical groups are outpacing revenue gains. With data gathered from over 15,000 providers, the survey sheds light on the complex challenges faced by medical groups in delivering quality and cost-effective care.
Claxton-Hepburn Medical Center announced Carthage Area Hospital will take over managing five clinics. But the man engineering the changes says they keep hundreds of healthcare jobs in Ogdensburg, and honor employees’ pensions. To split the current Claxton Hepburn Medical Center in Ogdensburg into two separate facilities, New York state has to say ok. The split would create an expanded, stand-alone behavioral health inpatient facility, owned by Claxton.
The H. Lee Moffitt Cancer Center & Research Institute Hospital Inc. submitted claims from 2014 to 2020 for services that weren't eligible for reimbursement.
Negotiations stalled over a new reimbursement rate as of Friday, Dec. 29. “Their response is really minimal to no increase,” said Dr. Robert Biernbaum, the chief medical officer of WellNow. “When we’re comparing to six, seven years ago, what they’re offering is less than what we received back then.” Those with Excellus can pay more out of pocket at WellNow or head elsewhere, like the ER, for doctor visits.
The two companies have been in contract negotiations for months, but were not able to come to an agreement by Dec. 31. The sticking point has been how much United Healthcare reimburses Prisma for its services. United Healthcare services several employer-sponsored healthcare plans in the Upstate (including UMR). Customers who normally use Prisma Health offices can still visit Bon Secours St. Francis, AnMed, Spartanburg Regional and some other medical providers in the United Healthcare network.
Kalamazoo County has already put the money in their budget, and the city of Kalamazoo is about to approve their share, to unlock participation by RIP Medical Debt.