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10 Sep 2018, 7:49 pm
Stamer’s clients include employers and other workforce management organizations; employer, union, association, government and other insured and self-insured health and other employee benefit plan sponsors, benefit plans, fiduciaries, administrators, and other plan vendors; managed care organizations, insurers, self-insured health plans and other payers and their management; public and private, domestic and international hospitals, health care systems,… [read post]
30 Aug 2018, 10:16 am
The Act also contains additional obligations for physicians, including with respect to billing certain out-of-network services. [read post]
30 Aug 2018, 10:16 am
The Act also contains additional obligations for physicians, including with respect to billing certain out-of-network services. [read post]
22 Aug 2018, 8:26 am
Our Health Subcommittee always made it a priority to have at least one physician on staff (we had three when we wrote the Affordable Care Act). [read post]
19 Aug 2018, 10:10 am
A recent report by the USA Today Network found the United States is the most dangerous place in the developed world to give birth. [read post]
14 Aug 2018, 6:45 am
In addition, CMS continues to remind all practices that it offers free consulting services from its technical assistance network for any physician seeking to meet the MIPS requirements. [read post]
14 Aug 2018, 6:45 am
In addition, CMS continues to remind all practices that it offers free consulting services from its technical assistance network for any physician seeking to meet the MIPS requirements. [read post]
9 Aug 2018, 3:04 pm
This is typical for out of network physicians, who are not bound by a contractual “in network” agreement which gives them the ability to bill the patients for the entire remaining balance. [read post]
9 Aug 2018, 8:56 am
In April 2018, in response to consumer concern and surprise over out-of-network physician services at in-network hospitals, as well as the price of emergency department services, CMS further requested comment on a proposed rule that would require more transparency in hospital pricing. [read post]
6 Aug 2018, 10:24 am
The new measure is expected to affect about 500,000 Texans with Blue Cross and Blue Shield health maintenance organization (HMO) plans. [read post]
23 Jul 2018, 6:06 am
The Act also provides for the expansion of an approved network of VA community-based providers under contract with the VA. [read post]
23 Jul 2018, 6:06 am
The Act also provides for the expansion of an approved network of VA community-based providers under contract with the VA. [read post]
22 Jul 2018, 9:00 pm
Always in the quest to find the magic bullet of health, some U.S. consumers are turning to it as the latest answer to better health. [read post]
16 Jul 2018, 4:00 pm
TC Palm, part of the USA Today network, reported on June 12, 2019, that an Indian River car crash caused a woman to die where the SUV she was in rolled over. [read post]
13 Jul 2018, 10:37 pm
Health care providers, employer and other health plan sponsors, individual Americans and their families, and others interested in health benefit and health care reform will want to keep a close eye on these and other developments as Congress continues to debate health care reform in the runup to the upcoming 2018 health benefit plan renewal and annual enrollment season and November’s mid-term elections. [read post]
13 Jul 2018, 9:16 am
In 2017, the United States Department of Health and Human Services (HHS) declared the opioid crisis a public health emergency and implemented a five point strategy to combat the opioid crisis. [read post]
13 Jul 2018, 9:16 am
In 2017, the United States Department of Health and Human Services (HHS) declared the opioid crisis a public health emergency and implemented a five point strategy to combat the opioid crisis. [read post]
13 Jul 2018, 8:00 am
He went to the office of his primary care physician, Dr. [read post]
13 Jul 2018, 8:00 am
He went to the office of his primary care physician, Dr. [read post]
12 Jul 2018, 12:00 pm
Recent Pelvic Floor Therapy Claims Enforcement Cases:On July 2, 2018, a Florida-based network of urogynecology practitioners agreed to pay the government $7 million to resolve allegations that network physicians violated the False Claims Act by knowingly billing the Medicare program for services that were inflated or were not provided. [read post]