Policy and Legislation
Providers warned to stay vigilant as financial and political incentives remain strong to bring False Claims Act cases.
Decreasing the percentage of primary care delivered out-of-network across all ACOs by 0.1% could save Medicare $45 million a year.
New Jersey legislators told the governor they want CarePoint finances and transactions closely watched, in light of allegations of financial irregularities.
For the second year in a row, residents say making sure people with mental health problems can get treatment is their top healthcare priority.
Authors call for allowing Medicare to directly negotiate drug prices with manufacturers, which is currently prohibited by law.
Insurers should be required to maintain robust networks, or the trend towards out-of-network services will accelerate, physicians say.
The group said such a policy would lower administrative costs and reduce barriers to healthcare access.
Blueprint includes cuts for care in hospital outpatient departments, teaching hospitals and post-acute care providers, AHA says.
Patients would receive 'true and honest' cost estimate under Ways and Means proposed bill.
Plan satisfaction will now have a greater effect on MA star ratings, as the Advance Notice proposes to double the value member satisfaction.