Fifty-two hospitals in upstate New York received more than $19 million in collective quality improvement incentive payments last year from Univera and Excellus BlueCross BlueShield, according to a Buffalo News report.
Leadership & Management
Since Medicaid coverage will expand significantly under the Patient Protection and Affordable Care Act starting in 2014, states may find it challenging to find primary care for the future Medicaid population due to a shortage of primary care physicians, according…
The HHS Office of the Inspector General has released an advisory opinion regarding a proposal by a network of pediatric charity hospitals to begin billing third-party payors, including federal healthcare programs, while waiving cost-sharing amounts to patients regardless of financial…
Blue Cross Blue Shield Illinois, the state’s largest health insurance company, will pay $25 million to settle allegations that it denied coverage to sick children by shifting their expensive claims to the state’s Medicaid program, according to a news release…
Anesthesiologist Allen R. Foster, MD, of Knoxville, Tenn., has pleaded guilty to charges of healthcare fraud by billing TennCare and Medicare for face-to-face visits with patients that never occurred, according to a Knoxville News Sentinel report. Dr. Foster operated pain…
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A new study finds high patient satisfaction scores and use of discharge planning were more closely linked to low readmission rates than were clinical performance measures, according to study in the American Journal of Managed Care.
The following is an excerpt of a white paper of the same title available through a paid membership to The Beryl Institute. To learn more about obtaining a copy of the paper or becoming a member of The Beryl Institute,…
The Internal Revenue Service has announced that certain hospitals and health systems may not file 2010 Form 990, including schedule H, before July 1, 2011, regardless of whether the organization is filing an electronic or paper return, according to an…
A proposal by a Colorado state representative to repeal the state's hospital provider fee has been killed, allowing the fee, which was introduced in 2009, to continue, according to a Denver Daily News report.
A new website launched by CMS will show the implementation status of each state's Medicaid Recovery Audit Contractor program, according to an AHA News Now report.