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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.... |
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. |
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... |
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... |
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... |
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.... |
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. |
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. |
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... |
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... |
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. |
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. |
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. |
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. |
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. |
InternetNews April 1, 2005 Susan Kuchinskas |
Online Shopping for Hospitals Hospital Compare gives the nation's hospitals a report card for key best practices. |
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.... |
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? |
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! |
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... |
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... |