Stark law's unintended consequences
Some of the largest recoveries by the Justice Department in the last year were Stark law violations, and some leaders worry the policy is hurting physicians rather than preventing corruption.
View ArticleWhere noncompetes could be banned next
Maine is poised to be the next state to ban noncompete agreements, the National Law Review reported March 25.
View Article15% of claims denied regardless of prior authorization: 5 notes
Approximately 15% of all medical claims sent to insurers are denied, including claims that were pre-approved, according to a recent report by healthcare solutions and research company Premier.
View ArticleHealth systems considering dropping Medicare Advantage: What ASCs need to know
Nearly half of health systems are considering dropping Medicare Advantage, according to a survey from the Healthcare Financial Management Association and Eliciting Insights.
View ArticleWhat would happen if physicians no longer accepted Medicare?
Becker's connected with M. Shafeeq Ahmed, MD, president of Johns Hopkins Howard County Medical Center in Columbia, Md., to discuss the risks the increasing number of physicians electing not to accept...
View Article10 notes on physician pay cuts
Medicare pay cuts are making it difficult for many smaller, independent physician practices to meet margins.
View Article6 problems with Medicare physician payments, per the AMA
Physicians have continued to see Medicare payment cuts year over year, with a 2% cut in 2023 being followed by a 1.68% cut in 2024, according to an April 8 report from the American Medical Association.
View ArticlePayers are looking to ASCs — here's why
ASCs are becoming an increasingly popular site of service for patients, and payers are taking note.
View ArticleASC growth could hinge on this policy
Patient and provider interest in ASCs is rising, but markets that have stringent certificate-of-need laws could struggle, leaders say.
View Article5 numbers on the rise of Stark law violations
Hospitals, health systems and physicians faced big Stark law penalties in 2023.
View ArticleWho's facing noncompete lawsuits?
Noncompete clauses are facing increasing scrutiny, as physicians, states and even the Federal Trade Commission look to reform policy.
View ArticleNoncompetes have 'handcuffed' physicians: Viewpoint
Physicians, state governments and the Federal Trade Commission are all battling to reform policy surrounding noncompete clauses, which prohibit physicians from seeing patients one to two years within a...
View ArticleStark law settlements hit a record $12.6M: What to know
CMS settled a record-breaking $12.56 million in Stark law voluntary self-referral disclosure settlements in 2022, according to recent CMS data.
View ArticleAMA, MedPAC push for Medicare reimbursement reform
The American Medical Association backed the Medicare Payment Advisory Commission's recommendations for Congress to reform Medicare payments.
View ArticleFTC to vote on noncompete ban
The Federal Trade Commission will hold an open meeting to vote on its proposed noncompete ban April 23.
View ArticleWhere physician noncompetes could be banned next
The Pennsylvania House has passed legislation that would ban noncompete clauses for physicians, certified registered nurse practitioners and physician assistants.
View ArticleFTC to ban noncompetes
The Federal Trade Commission has banned noncompete clauses for most U.S. workers, The Washington Post reported April 23.
View ArticleStreamlining Prior Authorizations: Balancing AI, Automation, and Human...
The manual prior authorization process stands as a notorious drain on both time and money. For ASCs, this aspect of the revenue cycle curtails efficiency but also strains staff resources, jeopardizing...
View ArticleASCs' reimbursement problem
ASCs are historically reimbursed at lower levels than hospital outpatient departments, despite being considered by many in healthcare to be a high-quality and low-cost site of care.
View Article6 CMS wins, losses for ASCs in 2024
Here are six recent moves by CMS that may benefit — or burden — ASCs, as reported by Becker's in 2024:
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