A New Jersey appeals court ruled Tuesday that the state legislature did not overstep its authority in allowing Human Services to end coverage for nearly 12,000 legal immigrants enrolled in the state's FamilyCare program, according to a Star-Ledger report.
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Partners HealthCare, headquartered in Boston, Mass., has unveiled a care redesign plan that will tackle costly conditions in an attempt to make care better and more affordable, according to a WBUR report.
Recent data from AHIP and CMS indicates that aggressive historical growth of high deductible health plans will be exacerbated by the Affordable Care Act. Author Nicholas Newsad translates these effects on surgery centers and patients in his books The Medical…
The House Budget and Energy and Commerce Committees have scheduled hearings on the Independent Payment Advisory Board, created by the health reform law to make recommendations to cut spending in Medicare, according to an ASA release.
New York-based Excellus BlueCross BlueShield has proposed significant rate increases for many of its insurance products in 2012, according to a Democrat and Chronicle report.
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More than half of health insurance executives said their companies plan to compete in individual or small group health insurance exchanges, according to a survey conducted by PwC US Health Research Institute.
CPT copyright 2010 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association. The following article is written by Stephanie Ellis, RN, CPC, president of Ellis Medical Consulting. For re-exploration laminotomy/hemilaminectomy procedures,…
Ken Bulow is COO of GENASCIS. Q: Which ambulatory surgery center specialties do you find managed care contracting toughest? Ken Bulow: Anything that requires an implant presents a contracting challenge. The reason why it's difficult is historically, organizations…
Tammy Brinkman, director of contracting and reimbursement at Blue Chip Surgical Center Partners in Cincinnati, describes seven situations when an ambulatory surgery center might consider terminating a payor contract and what the center can do to avoid these situations.
Aenta now requires ambulatory surgery centers in New Jersey to receive precertification for outpatient endoscopy, arthroscopy and laparoscopy, according to the June 2011 issue of the Aetna OfficeLink Update and Jeffrey Shanton, chair, Advocacy and Legislative Affairs Committee of the…