A simple break-even calculation turns a reimbursement advantage into staff minutes, showing practices when prior authorization, denials and uncollected patient balances wipe out a better rate.
|Articles|January 25, 2012
California hospitals sue to stop funding cuts
The California Hospital Association (CHA) is suing state and federal officials to block a 10% cut in government reimbursements to healthcare providers who treat low-income patients under the state's Medi-Cal program. The CHA claims the cuts will force many hospitals to close their skilled nursing facilities.
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The California Hospital Association (CHA) is suing state and federal officials to block a 10% cut in government reimbursements to healthcare providers who treat low-income patients under the state's Medi-Cal program. The CHA claims the cuts will force many hospitals to close their skilled nursing facilities.
An INDIANA health insurer is the first to be flagged by the federal government for what it called excessive rate hikes. The U.S. Department of Health and Human Services (HHS) said Everence Insurance Co.'s planned 12% rate hike for some of its policy holders in PENNSYLVANIA is not warranted by what it is expected to pay out in medical claims in Pennsylvania.
Federal healthcare reform does not allow HHS to block increases, but it can require insurers to justify them publicly. A spokeswoman for Everence said the company does not plan to make any changes to the rate increase.
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The Illinois College of Osteopathic Medicine at The Chicago School welcomed its first class of 91 students in July, with mental health built into all four years of training. Medical Economics spoke with John Lucas, D.O., and Michele Nealon, Psy.D., about whole-person care, burnout and the stigma physicians face in seeking help.
CMS' proposed cuts to physician fees focus on the operating room. For the primary care physicians managing recovery after surgery, the real gap is much larger.
Health care was the only one of five sectors to cut spending commitments this spring, falling 2.8% as hospitals faced rising supply costs and physicians awaited the final 2027 Medicare fee schedule, Coupa's Business Spend Index found.
It's shared savings season and the check has arrived. Now how do physicians divide it up fairly?
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