UnitedHealth Group has completed its acquisition of Sierra Health Services, according to published reports . The continued consolidation of payors, as evidenced by this type of acquisition, has a very negative impact on surgery centers. Such consolidations provide payors with…
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Orthopedic and spine procedures can be very profitable for surgery centers, as confirmed by the increasing number of centers performing these procedures. Reimbursement is solid for orthopedic procedures, and demand for implants is increasing as the Baby Boomer generation is…
A new study by the American Cancer Society revealed that of over 150,000 Medicare beneficiaries, only 25 percent received recommended screenings for colorectal cancer since Medicare initiated coverage for the tests, according to a press release from the American College…
The Empire Strikes Back: N.Y. Probes Underpayments by Insurers to Out-of-Network Providers, Patients
After several years of insurance companies aggressively setting limiting rates as to what they will pay out-of-network providers, New York has launched an investigation into whether insurance companies are unfairly setting those rates and causing patients to pay disproportionately high…
Since the administering of safe and effective anesthesia is such an essential component of the procedures performed in your ASC, you should approach the decision of who will provide anesthesia to your patients with due diligence. Here are three best…
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The Health Care Fraud and Abuse Control Program (HCFAC) recovered approximately $1.5 billion in 2006 as a result of fraud and abuse judgments and settlements, according to a report from the Department of Health and Human Services and the Department…
Healthcare regulatory diligence can be critical where a real estate investment trust (REIT) or other buyer acquires a portfolio of properties such as a medical office building from a hospital or other provider. Leases between a hospital and tenants can…
This article provides insight into four different concepts to strategically attack and manage operations in a surgery center. The four cornerstones are derived from a Harvard Business Review article, "The Four Principles of Enduring Success."1 The author, Christian Stadler, studied…
This article provides insight into four different concepts to strategically attack and manage operations in a surgery center. The four cornerstones are derived from a Harvard Business Review article, "The Four Principles of Enduring Success."1 The author, Christian Stadler, studied…
Ambulatory surgery centers and physician owned hospitals each offer similar advantages to consumers and to payors. For example, each, if managed well, can deliver services at lower cost and each, if managed well, can have outstanding clinical results. Thus, it…