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Now contractors are demanding providers pay back claims for the treatment of technically “incarcerated” prisoners – even though there’s no way the providers could have known the patients were prisoners.
A Connecticut gynecologist was malpractice-insured for $1 million. But his settlement was for $5 million. So the lawyers took all of his stuff. How’s your insurance?
All insurance plans’ coverage for obesity treatments – from bariatric surgery to Weight Watchers memberships – will expand as a part of the Affordable Care Act (ACA). But it’s up to the individual plan.
CMS posts answers to dozens of questions regarding the Sunshine Act with only weeks left until reporting for physician payments—excluding those for claims reimbursement— becomes mandatory Aug. 1.
 
Are Medicare Advantage patients healthier than Medicare fees-for-service beneficiaries?
If the Obama Administration has its way, a permanent fix for Medicare’s sustainable growth rate physician payment formula would look a lot like the accountable care organizations (ACOs) now being tested around the country as part of Medicare’s shared savings program.
Millions of the nation’s poorest, unhealthiest people that are current beneficiaries of Medicaid may not have access to the early detection and disease prevention services touted under the Affordable Care Act (ACA), according to researchers at George Washington University.
Physicians should start including a screening for financial risk when treating patients, suggest authors of a viewpoint article published online this month in The Journal of the American Medical Association.
Some states have had to cut back on their “ambitious” plans for implementing their health insurance exchanges by the Oct. 1 deadline.
 
Starting this week, you can voice any grievances you might have about your Medicare administrative contractor (MAC) directly to CMS.
 

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