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States Crack Down on Doctors Who Perform Unregulated Outpatient Procedures

A growing number of states are regulating outpatient procedures being performed in previously unregulated doctors’ offices, or weighing measures to do so, the Wall Street Journal reports. States considering these measures include California, Indiana, Florida, Arizona, New York and Nevada. The New York state medical board will begin enforcing a law this month that for […]

States Consider Secession From National Reform Plan

President Obama’s national health care reform initiative is in jeopardy even before serious negotiations to pass legislation have begun. Republican opponents in the House and Senate pose one obvious threat. In addition, some states are considering opting out of the plan—before a funding mechanism is set, before the number of people to be covered is […]

CMS Hospital Quality Open Door Forum

The next CMS Hospital/Hospital Quality Open Door Forum scheduled for:Date: Thursday, July 16, 2009  Click title to read more…     Start Time: 2:00 PM Eastern Time (ET)Please dial-in at least 15 minutes before call start time.Conference Leader(s): Marc Hartstein, Mark Levine, M.D., Natalie Highsmith.Open Door Participation Instructions:There are 2 ways to participate, onsite or […]

CMS Proposes Payment, Policy Changes For Physicians Services To Medicare Beneficiaries In 2010

The Centers for Medicare & Medicaid Services (CMS) announced today proposed changes to policies and payment rates for services to be furnished during calendar year (CY 2010) by over 1 million physicians and nonphysician practitioners who are paid under the Medicare Physician Fee Schedule (MPFS). The MPFS sets payment rates for more than 7,000 types […]

Survey: Physician Compensation Increases Did Not Keep Pace with Inflation in 2008

Increases in physicians’ overall compensation in both primary and specialty care did not keep up with inflation in 2008, according to the Medical Group Management Association (MGMA) Physician Compensation and Production Survey: 2009 Report Based on 2008 Data. Physicians in primary care reported a 2 percent increase (-1.73 percent adjusted for inflation) to a median […]

Insurers Underpaid 'Billions' In Health Claims

The Senate Commerce Committee has found that a flawed payment database produced by a UnitedHealth subsidiary and distributed to other major insurance companies has led insurers to underpay millions of out-of-network claims, forcing patients to make up the difference of health care providers’ fees, the Wall Street Journal reports. Aetna, Cigna, WellPoint, and other large […]

Transcript: President Obama Town Hall Meeting On Health Reform

The White House released a transcript of President Barack Obama’s town hall meeting today on health care. It was held at Northern Virginia Community College in Annandale, Virginia. THE PRESIDENT:  Good to see you guys.  Thank you, everybody. Thank you.  (Applause.)  Thank you, Northern Virginia.  Thank you very much.  What a wonderful welcome.  And I’m […]

Obama Presses Case For Health Reform

President Barack Obama pitched his health reform proposal Wednesday at a town hall meeting in Annandale, Va., asking the public and Congress to deliver on health care reform.  Click title to read more… The Associated Press reports that Obama put “a human face” on health care reform by hugging a cancer patient, but gave few new details […]

Physician Advisors and RACs: Saving Grace, Defending Dollars

When it comes to surviving Recovery Audit Contractors, effective physician advisors can be a “saving grace,” according to Elizabeth Lamkin, CEO of Hilton Head Regional Hospital, a Tenet hospital in South Carolina. Lamkin spoke at the recent Healthcare Financial Management Association’s annual conference in Seattle last week. An ineffective program, however, just won’t do.  Click […]