Healthcare providers have been pushing for prior authorization reform this year, and many states are passing legislation to remove prior authorization requirements.
Category: ASC Coding, Billing and Collections
‘Depersonalization’ of medicine likely to continue amid CMS physician pay cuts, physician says
CMS’ plan to cut physician pay by 4.42 percent in its Medicare physician fee schedule proposal is leaving many physicians worried about healthcare becoming more impersonal.
Value-based care in 2022: 15 updates
ASCs are looking to value-based care as the industry pivots to support bundled payment models.
UnitedHealth buys Kelsey-Seybold-affiliated insurer
UnitedHealth Group, the nation’s largest operator of Medicare Advantage plans, acquired Texas Medicare insurer KS Plan Administrators, the Star Tribune reported Aug. 16.
$38M healthcare fraud scheme lands Miami physician in prison
A Miami physician has been sentenced to federal prison for committing a $38 million healthcare fraud scheme scheme, the Justice Department reported Aug. 3.
4 states update their noncompete laws
Four states and Washington, D.C., have recently updated their governance of agreements that prohibit employees from competing with businesses directly for a specific duration of time after their employment has ended, according to a Aug. 2 report from t…
Tennessee independent physician group adopts value-based care model
The Jackson (Tenn.) Clinic, one of Tennessee’s largest independent physician groups, has adopted a value-based care model, the group said Aug. 2.
CMS ups inpatient rates 4.3% for 2023; what should ASCs expect?
CMS plans to boost acute care hospital pay 4.3 percent next year, as long as the hospitals comply with quality data reporting.
UnitedHealth in the headlines: 14 updates in 60 days
UnitedHealth Group, parent company of Optum Health and ASC management company United Surgical Partners International, saw a busy June and July. Here are 14 UnitedHealth updates from the last 60 days:
Centene in the headlines: 12 updates in 60 days
Centene is one of the nation’s largest health insurers by membership. Here are 12 updates from the company in the last 60 days:
