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UnitedHealthcare in the headlines: 3 notes
Here are three updates on UnitedHealthcare that Becker's has reported since Nov. 1: -
3 CMS rulings impacting ASCs
Here are three recent rulings from CMS that affect ASCs: -
Indiana physician's lawsuit challenges state's noncompete law
Pediatric intensivist David Lankford, MD, is suing his former employer, Fort Wayne, Ind.-based Lutheran Hospital, to get out of a noncompete clause in his contract, local PBS affiliate WFYI reported Nov. 2. -
Prisma Health plans to go out of network with UnitedHealthcare
In August, Greenville, S.C.-based Prisma Health warned its patients that starting Jan. 1, the health system might be out of network with UnitedHealthcare. Now, as the negotiation deadline looms, it seems more and more likely, according to a Nov. 3 report from NBC affiliate WYFF. -
How much does it cost to employ a physician?
The average cost of employing a provider full time in the third quarter of this year was $611,194, representing a rising cost of labor, according to data from Kaufman Hall. -
How much do employed physicians earn through seeing patients?
The average revenue earned by physicians and advanced practice providers via treating patients is on the rise, according to data from Kaufman Hall. -
The 11 procedures added to the ASC-payable list
CMS added 11 procedures to the ASC-covered list in the ASC Payment System Final Rule released Nov. 2 that were not included in the proposed rule. -
ASCs get 3.1% pay bump, 11 more payable procedures in CMS final rule
CMS has finalized a 3.1% payment rate for ASCs. -
CMS to cut physician pay in 2024
CMS will reduce overall physician pay 1.25% in 2024, while boosting pay for some visits including primary and longitudinal care. -
California physician convicted of healthcare fraud, kickbacks
Oakland, Calif.-based physician Henry Geoffrey Watson, MD, was convicted for accepting kickbacks for patient referrals, healthcare fraud and false statements. -
Reimbursement woes continue to bog down physicians
Reimbursement issues remain one of the top challenges for physicians across specialties. -
UnitedHealthcare launches round 2 of prior authorization cuts: What ASCs should know
In August, UnitedHealthcare announced plans to reduce 20% of its prior authorization requirements for its members and member physicians beginning on Sept. 1. -
Noncompetes by the numbers
Here are five key numbers about noncompetes to know: -
Another state proposes near-total noncompete ban: 5 things to know
A bill has been introduced in the Wisconsin Legislature that would ban most noncompete agreements, the Wisconsin Law Journal reported Oct. 31. -
Mutual of Omaha, Wellcare launch Medicare Advantage plan
Mutual of Omaha has formed a strategic alliance with Wellcare, the Medicare Advantage brand owned by Centene Corp., to offer jointly designed Medicare Advantage plans for the 2024 plan year. -
Medicare Advantage plan to end coverage in 2 California counties
Residents in California-based Napa and Sonoma counties with Medicare Advantage plans through Senior Care Action Network will no longer have coverage beginning on Dec. 31, according to an Oct. 27 report from the Press Democrat. -
The Stark law by the numbers
Here are five key numbers relating to Stark law to know: -
Cigna in headlines: 10 updates in 60 days
Cigna, the fourth-largest insurer in the U.S. by membership, has received accolades — and scrutiny — in the last two months. -
Former Medicare Advantage organization executive charged in $53M fraud scheme
A former executive of Medicare Advantage organization HealthSun Health Plans has been charged for her alleged role in a $53 million fraud scheme. -
The physician specialty with the lowest 5-year pay jump
Pediatric surgical physicians saw a 5.7% jump in total cash compensation over the last five years, according to SullivanCotter's 2023 "Physician Compensation and Productivity Survey."
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