An audit by the Office of the Inspector General (OIG) is reporting that approximately $6 million in payments were made to ...
A House hearing on a topic that both Republicans and Democrats agree on -- the need to more heavily regulate pharmacy benefit ...
Manufacturers are responsible for meeting all four parts of the definition of bona fide service fee before a fee can qualify as a bona fide ...
The future of value-based care programs will likely focus on greater integration of care, as nursing homes and other ...
To ensure physicians and healthcare facilities are paid correctly and consistently, payment guidelines are in place. RVUs ...
Andrew S. Oseran, MD, MBA, MSc, hypothesizes that higher Medicare Advantage (MA) risk scores may result from either a more accurate capture of beneficiaries' comorbidities or inappropriate "upcoding" ...
WASHINGTON – Sen. Chuck Grassley, R-Iowa, chairman of the Senate Judiciary Committee and a former chairman of the Senate Finance Committee, has sent a letter to UnitedHealth Group CEO Andrew Witty ...
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State health agency is ‘working to ensure public safety’ following death in Mission ER bathroomThe state’s top health agency is working to gather more information regarding the death of a Mission Hospital patient in an ...
But there is also a fine line between low and high value. For example, PSA screening for prostate cancer saves lives (high ...
As original Medicare faces funding shortfalls, Dr. Oz may shift to private insurance providers through Medicare Advantage.
Prior authorization reforms, increased biosimilar access and the future of the Medicare drug price negotiation program are ...
The California Department of Public Health licenses and regulates health care facilities in the state, including the hospital treating Matthew Tartoria’s mother. But in a letter, the agency said his ...
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