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More than 90% of physicians say they have experienced prior authorization (PA)-related delays to providing medically necessary care for their patients -- and the problem can be even worse for African American patients,  according to a white paper from the Association of Black Cardiologists (ABC).

The new final rule on short-term, limited-duration (STLD) plans covered in our Aug. 13 issue has drawn praise from Republicans, their supporters and people who sell STLD insurance; everyone else's opinion ranges from diffident to hostile.

CMS has these provider-based departments – many of which are part of hospital-owned physician practices – in its sights for reimbursement cuts in two areas.

On July 7, CMS suspended risk-adjustment payments meant to stabilize Affordable Care Act exchange plans -- but on Tuesday agency officials reversed their decision, pleading "the stability of the insurance markets."

The post-operative visit code may not have its own payment rate, but the HHS watchdog is studying it anyway. Here's why.

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