MultiPlan faces another price-fixing lawsuit Andrew Cass.

2024-05-01T15:20:53-06:00

Data analytics firm MultiPlan is facing another lawsuit alleging that it conspired with major payers to underpay providers by tens of billions annually. The lawsuit, filed by Shreveport, La.-based Allegiance Health Management, alleges that by 2022, MultiPlan used its repricing tools to fix prices on 370,000 out-of-network claims daily for more than 700 payers, which has [...]

MultiPlan faces another price-fixing lawsuit Andrew Cass.2024-05-01T15:20:53-06:00

America’s health system is still in crisis after its biggest cyberattack ever

2024-05-01T15:17:31-06:00

America’s health system is still in crisis after its biggest cyberattack ever—but the 'catastrophe' is just a blip for the giant company that got hacked by Erika Fry / Apr 23, 2024 In early March, Joe Martin, the owner of Function Better, a physical therapy clinic in Yorkville, N.Y., looked at his business bank [...]

America’s health system is still in crisis after its biggest cyberattack ever2024-05-01T15:17:31-06:00

Survey finds nearly 15% of medical claims submitted to private payers are initially denied

2024-03-27T08:04:26-06:00

RevCycle Intelligence reports, “It may take some time to get paid for medical services, suggests a new survey of hospitals, health systems and post-acute care providers.” Almost “15% of medical claims submitted to private payers for reimbursement are initially denied, respondents representing over 500 organizations told Premier Inc. in the survey.” And “an average of [...]

Survey finds nearly 15% of medical claims submitted to private payers are initially denied2024-03-27T08:04:26-06:00

Latest Medicare physician pay cut shows desperate need for overhaul

2024-03-27T08:04:34-06:00

What’s the news: The U.S. Congress has again failed to stop in its entirety a pay cut that will threaten Medicare patients’ access to high-quality physician care. In a federal budget deal struck to continue operating the government, the House of Representatives has voted to reduce by about half—1.68%—of the 2024 3.37% across-the-board physician pay [...]

Latest Medicare physician pay cut shows desperate need for overhaul2024-03-27T08:04:34-06:00

How Congress is Failing America’s Medicare Patients

2024-03-26T08:56:21-06:00

By Kevin B. O'Reilly, Senior News Editor This article is copied from the American Medical Association. You can read the article on the AMA website here. What’s the news: The AMA and more than 120 other national medical organizations and state medical societies last week called on Congress (PDF) to pass legislation to [...]

How Congress is Failing America’s Medicare Patients2024-03-26T08:56:21-06:00

Hospitals are dropping Medicare Advantage plans left and right

2024-01-02T16:45:18-07:00

Medicare Advantage provides health coverage to more than half of the nation's seniors, but a growing number of hospitals and health systems nationwide are pushing back and dropping some or all contracts with the private plans altogether. Editor's note: This article was originally published Sept. 27. It was updated Nov. 14 to reflect new contract [...]

Hospitals are dropping Medicare Advantage plans left and right2024-01-02T16:45:18-07:00

Dermatology Management Company to Pay $8.9 Million to Resolve Self-Reported False Claims Act Liability

2023-10-09T13:59:55-06:00

A Texas entity that manages and operates dermatology practices, surgical centers, and pathology laboratories across the United States has agreed to pay the United States $8.9 million to resolve allegations, which were self-reported, of potential violations of the Physician Self-Referral Law (the Stark Law) and the Anti-Kickback Statute (AKS), announced U.S. Attorney for the Northern [...]

Dermatology Management Company to Pay $8.9 Million to Resolve Self-Reported False Claims Act Liability2023-10-09T13:59:55-06:00

Colorado Update by HCPF

2024-03-26T08:56:47-06:00

Northern Colorado Independent Practice Association MeetingJanuary 26, 2023Kim Bimestefer, HCPF Executive DirectorMatt Haynes, Special Finance Project ManagerTrevor Abeyta, Payment Reform Section ManagerView and download the PDF

Colorado Update by HCPF2024-03-26T08:56:47-06:00

Independent Provider Practices Provide Cost-Effective Healthcare – PhysicianXpress Article

2021-05-26T15:08:08-06:00

Are Integrated Delivery Networks and Hospitals Driving Up Healthcare Costs? MGMA President Halee Fisher-Wright provides some comments including: “We remain concerned that far too much of a practice’s IT investment is tied directly to complying with the ever-increasing number of federal requirements, rather than to providing better patient care” “While technology plays a crucial [...]

Independent Provider Practices Provide Cost-Effective Healthcare – PhysicianXpress Article2021-05-26T15:08:08-06:00

Telligen offers Direct Telehealth Assistance

2020-05-20T06:27:41-06:00

Is your practice struggling to get telehealth to work for you? Are your patients resistant to remote visits through telehealth? Are you worried about being adequately reimbursed for telehealth visits? Telligen, in partnership with University of Colorado Practice Innovation Program, is providing practice support to primary care practices, rural health clinics, Federally Qualified Health Centers [...]

Telligen offers Direct Telehealth Assistance2020-05-20T06:27:41-06:00

Hospitals Drive More Costs, Get Less Scrutiny

2019-10-02T10:50:07-06:00

After a six-week recess (ahem, “district work period”), Congress is finally reconvening to commence work on drug-pricing legislation. Click here to read the entire article.

Hospitals Drive More Costs, Get Less Scrutiny2019-10-02T10:50:07-06:00

CIVHC Update on Reports for Northern Colorado to improve healthcare and lower cost.

2019-09-28T09:37:45-06:00

The IPA is working with several groups including the local employers that have requested reports from the Colorado All Payer Claims Database (CO APCD). Individual Project Updates: The ED Utilization project requested by Weld county Department of Public Health has been fully completed and delivered. Both knee projects requested by Larimer County – i.e. knee [...]

CIVHC Update on Reports for Northern Colorado to improve healthcare and lower cost.2019-09-28T09:37:45-06:00

New Henry Schein Contract

2018-02-01T14:58:42-07:00

NCIPA is happy to announce our new partnership with Henry Schein Medical.  By leveraging NCIPA’s overall purchasing power, NCIPA has obtained the best prices for medical supplies for our providers.  Please contact the IPA for more information on this contract.

New Henry Schein Contract2018-02-01T14:58:42-07:00

Building a Stronger Human Resources Foundation

2019-02-15T10:05:16-07:00

One of the challenges facing many medical practices is how to effectively and uniformly administer the human resources (“HR”) function across a number of offices, oftentimes with a diversity of cultures and historic practices. This article is not going to focus on HR issues unique to a medical workplace, but rather the HR issues unique [...]

Building a Stronger Human Resources Foundation2019-02-15T10:05:16-07:00

5 Questions to Assess Whether Your Practice is a Good Fit for an Acquisition

2019-02-15T10:05:16-07:00

By Margaret McGuckin Are you thinking about selling your practice or joining a system? As a former Chief Operating Officer for a large, nationwide practice management company, I experienced physicians that loved working in our management system and those who didn’t. What made the difference? The questions they asked while in the discovery phase of [...]

5 Questions to Assess Whether Your Practice is a Good Fit for an Acquisition2019-02-15T10:05:16-07:00

11 Guidelines to Building a Prosperous Team

2019-02-15T10:05:17-07:00

I use the word prosperous, because building a team is of the utmost importance in creating a successful practice. It can really make or break your success. If your team is unmotivated, it will effect how they interact with your patients, their decision-making, and their efficiency level. If they are motivated and connected to their [...]

11 Guidelines to Building a Prosperous Team2019-02-15T10:05:17-07:00

How Call Tracking Can Help Your Practice Generate More Return Patients

2019-02-15T10:05:17-07:00

By Dice Nakamura National Healthcare Division, ReachLocal, Inc. If you’re like most hospitals or practices, you view inbound phone calls from new patients as a measure of your marketing success. However, that probably means you have no way of quantifying how many of those calls were generated as a result of your local online marketing. [...]

How Call Tracking Can Help Your Practice Generate More Return Patients2019-02-15T10:05:17-07:00

Demystifying the Private Pooled Income Fund

2019-02-15T10:05:17-07:00

Understanding and using privatepooled income funds for retirement In our roles as tax, legal and financial advisors, we have encountered many clients who can be fairly classified as ‘reluctant’ charitable donors. To clarify, we frequently remind them that, when it comes to their ‘gross’ income and their consequent income tax obligation, there are only three [...]

Demystifying the Private Pooled Income Fund2019-02-15T10:05:17-07:00

Social Media: Why it should matter to you.

2019-02-15T10:05:17-07:00

By Ron Meritt Most physicians look at social media marketing as a luxury and not a necessary part of their business. The healthcare industry consistently sets the pace for innovative science and technology, yet at the same time struggles to keep up in marketing and patient engagement. Social media has proven to be an important [...]

Social Media: Why it should matter to you.2019-02-15T10:05:17-07:00
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