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The new research indicates that 65 percent of patients saw a physician who had received an industry payment over the previous 12 months.
These requirements add to the ongoing controversy about whether all nonprofit hospitals do enough to deserve a tax break.
The budget also cuts more than $400 million earmarked for physician and nurse training programs, claiming that they lack evidence that those programs improve the workforce.
Three months into 2017 performance year, clinicians still in the dark about compliance, MGMA says.
Marshfield's research institute has roughly 450 clinical trials and research projects active, system says.
The report is based on data from the top 20 U.S. healthcare distributors, representing 75 percent of all distributed healthcare sales in the U.S.
UPMC affiliation brings benefit of low-cost health insurance plan and ability to recruit top doctors, organizations say.
Final open enrollment figures show 83 percent took advantage of premium tax credits.
The South Central region had the second-highest rate, according to RelayHealth Financial's Revenue Cycle Index.
CMS will work with states in their initiatives to design their own programs, they said.