Biden Plan to Cut Billions in Medicare Fraud Ignites Lobbying Frenzy
The Biden administration has proposed changes to how it would pay private Medicare Advantage plans, setting off a lobbying frenzy. (Source: NYT Health)
Source: NYT Health - March 22, 2023 Category: Consumer Health News Authors: Reed Abelson and Margot Sanger-Katz Tags: Health Insurance and Managed Care Medicare United States Politics and Government Medicare Advantage Centers for Medicare and Medicaid Services Source Type: news
Zest Pediatric Network aims to be first U.S. direct pediatric care network
Direct care is a model of health care that eliminates third-party payers — insurance companies or government payers such as Medicare. (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - March 22, 2023 Category: American Health Authors: Mary Vanac Source Type: news
CMS directs payment determinations to resume under No Surprises Act
The U.S. Centers for Medicare and Medicaid Services (CMS) has instructed independen...Read more on AuntMinnie.comRelated Reading:
ACR hails federal court ruling on surprise billing
ACR offers recommendations for reimbursement dispute resolution
RBMA opposes independent dispute resolution fee hike
Last-minute Congressional action reduces Medicare fee cuts for 2023
ACR comes out in support of Texas No Surprises Act lawsuit (Source: AuntMinnie.com Headlines)
Source: AuntMinnie.com Headlines - March 22, 2023 Category: Radiology Source Type: news
When Will Medicare Cover Medical Marijuana?
One in five Medicare recipients currently uses medical marijuana. (Source: Arkansas Business - Health Care)
Source: Arkansas Business - Health Care - March 22, 2023 Category: American Health Source Type: news
‘We do not do the end of life well’ in America: How hospice can help ease the last days
Former U.S. President Jimmy Carter’s decision to seek hospice care and spend his remaining time in care at home has helped bring awareness to an industry that quietly serves people at the end of their lives. Hospice, which provides care and support services for patients who are terminally ill with…#jimmycarter #hospice #amytucci #medicare #tucci #elliottwood #medalogix #wood #muse #charlottemather (Source: Reuters: Health)
Source: Reuters: Health - March 22, 2023 Category: Consumer Health News Source Type: news
Watch live: Moderna CEO Stephane Bancel testifies before Senate on Covid vaccine price hike
Moderna's CEO Stephane Bancel is testifying Wednesday before the Senate health committee on pricing of the company's Covid-19 vaccine. The Boston biotech company plans to charge $130 per dose once the vaccination program moves to the private market as early as this fall. Sen. Bernie Sanders, chair…#stephanebancel #boston #berniesanders #healthcommittee #bancel #healthyreturns #biopharma #sanders #medicare #medicaid (Source: Reuters: Health)
Source: Reuters: Health - March 22, 2023 Category: Consumer Health News Source Type: news
Government, nonprofit hospitals aren't cheaper for brain MRI
Nonprofit and government hospitals aren't necessarily cheaper when it come...Read more on AuntMinnie.comRelated Reading:
Are insurers overpaying for imaging services?
Patient costs for imaging skyrocket over last 20 years
Insurance coverage for prostate MRI is inconsistent across the U.S.
Low-value care occurs less often in Medicare Advantage plans
Abdominal ultrasound priciest in Fla., cheapest in NJ (Source: AuntMinnie.com Headlines)
Source: AuntMinnie.com Headlines - March 22, 2023 Category: Radiology Source Type: news
Medicare Advantage Uses Algorithms to Block Care for Seniors
Yves here. While this post describes flagrant fraud by Medicare Advantage insurers, which would seem to be an “old people in America” problem, the deliberate abuse by AI is a risk everyone should worry everyone. It is also yet another reminder that if you can afford the premiums, traditional…#medicareadvantage #medicare #stat #caseyross #bobherman #kipsullivan #angrybear #healthcareinsurance #statinvestigation #wisconsin (Source: Reuters: Health)
Source: Reuters: Health - March 22, 2023 Category: Consumer Health News Source Type: news
Public Inspection: CMS: Administrative Simplification: Adoption of Standards for Health Care Attachments Transactions and Electronic Signatures, and Modification to Referral Certification and Authorization Transaction Standard; Extension of Comment Period
Pre-publication notice from the Centers for Medicare& Medicaid Services (CMS) extending the comment period for theDecember 21, 2023, proposed rule that would adopt a set of standards for the electronic exchange of clinical and administrative data to support prior authorizations and health care claims adjudication. Comments are now due by April 21, 2023. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 22, 2023 Category: Rural Health Source Type: news
For many insulin users, new price cuts will be a'lifeline '
Hunter Sego, 26, of Indiana, had been spending about $660 each month on insulin from the drugmaker Eli Lilly. When the company announced earlier this month that it would be capping the out-of-pocket cost of insulin at $35 a month, he knew it would make his life much easier. “This is going to be…#huntersego #indiana #elililly #sego #novonordisk #medicare #sanofi #randcorp #dallas #nataliestanback (Source: Reuters: Health)
Source: Reuters: Health - March 21, 2023 Category: Consumer Health News Source Type: news
CMS: Medicare and Medicaid Programs: Application From the Accreditation Commission for Health Care, Inc. for Continued Approval of Its End-Stage Renal Disease (ESRD) Accreditation Program
Notice from the Centers for Medicare& Medicaid Services (CMS) announcing its approval of the he Accreditation Commission for Health Care, Inc., for continued recognition as a national accrediting organization for end-stage renal disease (ESRD) facilities that wish to participate in the Medicare or Medicaid programs. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 21, 2023 Category: Rural Health Source Type: news
DOJ: Scottsdale Physicians Group may have ‘upcoded’ and ‘improperly admitted’ patients
A prominent Valley doctor was hailed as a “health care hero” during the pandemic, but now his companies are in bankruptcy and the Department of Justice is accusing them of unnecessarily admitting patients to a Scottsdale hospital and submitting false billing claims to Medicare.
Dr. Nima Ghadimi founded Scottsdale Physicians Group, as w ell as SPG Hospice and United Telehealth. Court documents show the doctor, or his family’s trust, owned 100% of all three companies.
From the outside, Ghadimi… (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - March 21, 2023 Category: American Health Authors: Zach Crenshaw Source Type: news
10 Important Tax Numbers Every Business Owner Should Know to Save Big on Their Taxes This Year
Opinions expressed by Entrepreneur contributors are their own. I'm a certified public accountant but my firm doesn't prepare tax returns. However, I'm also a business owner. This means, like my best clients, I pay close attention to my taxes. Why? Because for a business owner, taxes are usually…#fica #medicare #smallbusinessowners #section179 (Source: Reuters: Health)
Source: Reuters: Health - March 20, 2023 Category: Consumer Health News Source Type: news
Biden Warns That Climate Change Could Upend Federal Spending Programs
This year’s Economic Report of the President focuses on long-run challenges to the U.S. economy. A chapter in the new Economic Report of the President focuses on the growing risks to people and businesses from rising temperatures, and the government’s role in adapting to them. WASHINGTON — The…#medicaid #medicare #unitednations #newyorkcity #secondavenuesubway #hudsonriver #cecilia #federalreserve #times #obama (Source: Reuters: Health)
Source: Reuters: Health - March 20, 2023 Category: Consumer Health News Source Type: news
5 ways House Republicans' budget plan'will be a disaster for families,' according to the White House
Rep. Scott Perry (R-PA) speaks during a news conference with members of the House Freedom Caucus outside the U.S. Capitol on February 28, 2022 in Washington, DC. Drew Angerer/Getty Images The House Freedom Caucus unveiled a plan to address the debt ceiling through major spending cuts. The White…#scottperry #housefreedomcaucus #capitol #washingtondc #republicans #congressional #democrats #florida #medicare #freedomcaucus (Source: Reuters: Health)
Source: Reuters: Health - March 20, 2023 Category: Consumer Health News Source Type: news
