Author's posts
ASCs battle 'Goliath' hospital, payer power
Hospital consolidation and payer mergers continue to reshape the healthcare landscape, presenting significant challenges for ASCs and smaller practices.
Physicians twisted 'into pretzels' under Stark law as leaders brace for reform
The future of the Stark law is uncertain following a recent district court decision that a False Claims Act lawsuit against South Charleston, W.Va.-based Thomas Health System could not be resolved without further briefings on the U.S. Supreme Court’s r…
'The biggest scam in the country': What 5 leaders are saying about Medicare Advantage
All of healthcare has struggled with declining reimbursements, patient care issues and administrative burdens associated with Medicare Advantage plans.
Private equity-backed medical practice to shutter
Private equity backed healthcare clinic Forward plans to close its doors just a year after raising $100 million in a Series E funding round, according to a Nov. 13 report from Business Insider.
Sanford Health adds Wyoming ASC
Sioux Falls, S.D.-based Sanford Health is becoming the parent company of Black Hills Orthopedic and Spine Center, the Black Hills Surgical Hospital and the system’s associated facilities in Rapid City, S.D., and Black Hills Surgery Center in Gillette, …
Anthem BCBS issues anesthesia reimbursement time limit, leaders brace for cuts
On Nov. 1, Anthem Blue Cross Blue Shield Plans representing Connecticut, New York and Missouri announced changes to their evaluation process for claims for anesthesia services.
What's coming for the FTC? 5 things physicians need to know
Under the Biden administration, the Federal Trade Commission took strong anti-trust positions and boosted pro-worker policies, such as a ban on noncompete agreements.
What 5 leaders are saying about Stark law
ASC and physician leaders are keeping a sharp eye on Stark law, which has evolved into a complex framework that continues to challenge compliance.
Physicians per capita in the 10 best states for healthcare
There are 129.32 physicians for every 100,000 residents in Rhode Island, the best-ranked state for healthcare.
Physician sues Prospect Medical Holdings alleging insurance fraud
A former psychiatrist at Manchester Memorial Hospital in Hartford, Conn., is suing parent company Prospect Medical Holdings over alleged insurance fraud, CT Insider reported Nov. 13.
