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Many startups aimed at bringing hospitals and physicians software and management services to adapt to new Medicare and insurance payment models.

The new proposal will repeal the current Sustainable Growth Rate and institute a 0.5 percent payment update each year for five years.

Highmark is expanding a low-cost approach to colon cancer screening that could help increase early detection while also avoiding the discomfort of invasive scoping and high treatment costs.

While Congress weighs the sustainable growth rate repeal, insiders have taken to Twitter to voice support for the overdue change.

Insurers in New York are agreeing to reform their policies for behavioral healthcare treatment and rehabilitation coverage, after an "unprecedented enforcement effort of mental health parity laws."

This year alone, prevention and enforcement efforts recovered $3.3 billion from individuals and companies that attempted to defraud federal health programs serving seniors, persons with disabilities or those with low incomes.

Anecdotal evidence suggests the coding shift might chase physicians into retirement.

At issue is whether the company is doing anything different from its for-profit competitors to warrant its tax break.

However, the 2016 presidential election and potential legislative changes could shift the regulatory landscape and affect certain sectors of healthcare, a trend that could throw off M&A.

The audit, for years 2011 and 2012, covered $48 million in Medicare payments to the hospital for 7,506 claims potentially at risk for billing errors.