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Managed Care
April 2000
Michael Levin-Epstein
Congressional Anti-Kickback Battle Hinges on HCFA's Regulatory Stance In an election year, the political hot buttons -- the Patients Bill of Rights and a Medicare prescription benefit, and maybe the issue of medical errors -- are sure to get a lot more attention than such mundane things as laws that would address potential kickbacks.... mark for My Articles similar articles
Managed Care
January 2005
Leary & Farley
Health Plans Slow To Adopt Outpatient Prospective Payment The private sector drags its feet over Ambulatory Payment Classifications. Here are some suggestions to move acceptance along. mark for My Articles similar articles
Managed Care
February 2001
Michael Levin-Epstein
Mainstream Media Misinterpret HCFA's Policy on Medical Errors Is the Health Care Financing Administration changing its policy on disclosure of medical errors to Medicare beneficiaries? The issue is causing a tremendous amount of confusion among physicians and health plans. To HCFA, however, the fuss is much ado about nothing... mark for My Articles similar articles
Managed Care
February 2001
Michael Levin-Epstein
HIPAA Privacy Rules Create Uncertainty, Compliance Woes When it comes to information-sharing, just when does 'no' mean 'no'? What about conflicting statutes? We have two years to sort it out... mark for My Articles similar articles
Managed Care
April 2001
Michael Levin-Epstein
President's Privacy-Rule Review Creates Controversy, Confusion The final medical privacy regulations under the Health Insurance Portability and Accountability Act (HIPAA) stand out in terms of controversy and confusion. The end game is still cast in doubt... mark for My Articles similar articles
Managed Care
May 2000
Michael Levin-Epstein
Marketing Medicare+Choice? Mind Your Ps and Qs, Says OIG A lot of Medicare HMOs' marketing materials don't cut it, says a report by the Office of the Inspector General. It adds that the Health Care Financing Administration is partly to blame.... mark for My Articles similar articles
Managed Care
July 2000
Michael Levin-Epstein
Congress Asked To Take Action As HMOs Flee Managed Medicare Thanks mainly to the increasing cost of providing a prescription drug benefit, HMOs are exiting Medicare+Choice, the system that was supposed to manage the health of the nation's senior citizens, in droves. Only an act of Congress can save Medicare+Choice, but is seems doubtful that will happen. mark for My Articles similar articles
The Motley Fool
May 12, 2004
W.D. Crotty
Health Care's Unique Risk Select Medical is just the latest to suffer from regulatory changes. mark for My Articles similar articles
Managed Care
July 2001
John Carroll
AMA Slams Managed Care Even As Leadership Splinters The wild calls for patients' rights at the House of Delegates meeting did not prevent the chief executive from suing the board of trustees... mark for My Articles similar articles
Managed Care
May 2001
Jeffrey J. Denning
How To Challenge Medicare Payments Less than 6 percent of Medicare payments are protested. Of those, about 6 in 10 result in increased compensation for the physician. Odds are on your side... mark for My Articles similar articles
Managed Care
September 2007
Martin Sipkoff
Go Carefully When Measuring Quality Gauging and rewarding good work in health care is a noble goal with potentially negative consequences. mark for My Articles similar articles
Searcher
Jul/Aug 2010
Tara Breton
What's in the Patient's Medical Bill? If you want more understanding of medical billing, here are the basics of the U.S. medical reimbursement system that will hopefully assist you along with web resources on this subject. mark for My Articles similar articles
Nursing Management
April 2009
Sharon H. Pappas
Profits, Payers, and Patients: Responding to Changes Profit is necessary for hospitals to fulfill their missions, invest in expansion and new technologies, and reinvest in existing patient care infrastructures. Profitability is the work of the financial team and the clinical team to produce the hospital's desired financial outcome. mark for My Articles similar articles
Managed Care
August 2002
Maureen Glabman
Lobbyists That the Founders Just Never Dreamed of The "right ... to petition the government" has come a long way in over 200 years, and health care organizations are not shy in exercising it. mark for My Articles similar articles
CFO
January 1, 2002
Andrew Osterland
Operating Room Rising hospital costs, a plague to most companies, have helped some health-care CFOs nurse profits back to health. mark for My Articles similar articles
InternetNews
April 1, 2005
Susan Kuchinskas
Online Shopping for Hospitals Hospital Compare gives the nation's hospitals a report card for key best practices. mark for My Articles similar articles
Managed Care
September 1999
AMA, Federal Government Fret More About Online Prescribing and Pharmacy The AMA has come out with its strongest condemnation of online prescribing, recommending that action be taken against physicians who prescribe based solely on a patient's answers to an online questionnaire.... mark for My Articles similar articles
Entrepreneur
March 2007
Nichole L. Torres
Playing By The Rules Excited to start your business, but ready to run when it comes to dealing with government regulations? mark for My Articles similar articles
Managed Care
October 2003
Ed Silverman
Tough Negotiations in Store Between Plans and Hospitals Fallout from the Medicare outlier-payment scandal is likely to force hospitals to try to replace that revenue. Health plans, prepare to negotiate! mark for My Articles similar articles
Managed Care
October 2001
Washington's Focus on Terrorism Jeopardizes Quick Health Care Reform Though President Bush has pledged to be a faithful steward of the country's business while directing the war against terrorism, nobody is predicting that what had been pressing health care issues before Sept. 11 will now be dispatched swiftly... mark for My Articles similar articles
Managed Care
March 2001
Mark D. Abruzzo
'Final' Stark Regulations Still a Work in Progress The Stark Law generally prohibits physicians from referring Medicare patients for certain designated health services to entities with which the physician (or immediate family members) has a financial relationship... mark for My Articles similar articles