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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." -
The reimbursement issue harming ASCs
Prior authorization is one of the biggest issues facing ASCs and physicians — delaying care and increasing administrative burdens. -
'It's a scam': Why 2 practices no longer accept Medicare Advantage patients
Health systems have been cutting ties with Medicare Advantage plans left and right, including Raleigh, N.C.-based WakeMed and Zanesville, Ohio-based Genesis HealthCare System. -
The biggest threat to ASC growth right now
ASCs have long struggled to secure adequate reimbursements. -
6 Medicare Advantage plans ranked 'low performing' by CMS for 2024
Each year CMS publishes star ratings to measure the quality of health and drug services from Medicare Advantage and Medicare prescription drug plans, or Part D plans. -
Health First expands payer coverage in Florida
Health First Health Plans is expanding its coverage into five counties in Florida, including the Orlando area, according to an Oct. 24 report from Florida Today. -
36 Medicare Advantage plans earning 5 stars from CMS for 2024
Each year CMS publishes Medicare Advantage and Medicare Part D star ratings to measure the quality of health and drug services from Medicare Advantage and Medicare prescription drug plans, or Part D plans. -
States, FTC continue to target noncompetes: 3 updates
Noncompete clauses continue to be the target of lawsuits and action by state legislatures.
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