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Medicare & Medicaid

Sep 30 | Susan Morse
CMS is proposing that hospitals make public their payer-specific negotiated charges for a limited set of…
Sep 30 | Jeff Lagasse
The defendants ordered unnecessary tests that were reimbursed by Medicare, with laboratories sharing the profit,…
Sep 26 | Susan Morse
America's Essential Hospitals said it is working with lawmakers to stop $4 billion in cuts for 2020 from taking effect November 22.
Sep 25 | Jeff Lagasse
The savings for Medicare fee-for-service would vary by specialty, but would total more…
Sep 23 | Jeff Lagasse
Medical providers receiving higher amounts of industry payments tend to bill higher drug and medical costs.
Sep 23 | Susan Morse
Plans are hampered by current CMS policy and provider coding that often does not…
Sep 20 | Jeff Lagasse
There were noteworthy differences between what physicians recorded in their EHRs vs. what observers witnessed in clinical…
Sep 20 | Susan Morse
The expansion into the ACA for Cigna and other insurers comes at a time when CMS reports declining unsubsidized…
Sep 20 | Susan Morse
The maximum price that could be set is 1.2 times the average international market price.
Sep 18 | Susan Morse
The decision saves hospitals from a $760 million rate cut in 2020.

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