Not only do many inequities exist between Medicare Advantage and the Medicare Shared Savings Accountable Care Organization program, but the programs are also in direct conflict, David Introcaso, PhD, wrote for the American Journal of Managed Care.
Legal & Regulatory Issues
Nashville, Tenn.-based Hospital Corporation of America has been ordered to pay nearly $434 million to the Health Care Foundation of Greater Kansas City for allegedly failing to fulfill pledges it made when it bought several hospitals in 2003, according to…
A husband and wife are accused of stealing over 80 emergency room patient records at New York City-based Lenox Hill Hospital and taking over their credit card accounts to buy more than $300,000 in fraudulent purchases from high-end stores, according…
If you are a hospital or health system that owns and operates an accountable care organization (ACO) participating in the Medicare Shared Savings Program (MSSP), or if you are seeking to participate in the MSSP in the future, then you…
Another nonprofit health insurance co-op will not sell individual health insurance plans for 2016, according to Bangor Daily News.
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The following insurers made headlines this week. They are listed below, beginning with the most recent.
Physicians are usually thought of as only being on the receiving end of a malpractice lawsuit, but it's not unheard of for a physician to launch such a case against another medical professional, according to the "Medscape Malpractice Report 2015:…
Minnetonka, Minn.-based insurer UnitedHealth Group does not plan to pay broker commissions on the sale of individual health plans in many states where it participates in the health insurance marketplace, according to the Minneapolis/St. Paul Business Journal.
Accountable care organizations create large networks that could run the risk of being deemed anticompetitive. However, it is competition that will help accountable care thrive, by driving quality and cost improvements.
Most physicians will be sued at some point in their career for malpractice, according to a recent survey from Medscape. The survey shows by the time respondents were age 60 and above, the rate who had experienced at least one…