by Keith Kuhn | Jun 16, 2013 | Payor, Provider
The battle continues to heat up between UPMC and Highmark. On Friday, the UPMC board voted not to extend Highmark’s contract when it expires in 2014. UPMC brought out a big ad campaign Sunday and the big guns to drive home the point that UPMC will do what it has to do...
by Keith Kuhn | Jun 16, 2013 | Payor
Insurance Company Aetna Inc. will stop selling health insurance to individual consumers in California at the end of the year, withdrawing as the federal health law is expected to reshape the market in 2014. The pullout is likely to draw attention as California has...
by Keith Kuhn | Jun 15, 2013 | Government, Provider, Reimbursement
A federal advisory panel said Friday that Congress should move immediately to cut payments to hospitals for many services that can be provided at much lower cost in doctors’ offices. The Medicare Payment Advisory Commission said the current payment disparities had...
by Keith Kuhn | Jun 15, 2013 | Beneficiary
People with Medicare will soon see a redesigned statement of their claims for services and benefits that will help them better spot potential fraud, waste and abuse. These newly redesigned Medicare Summary Notices are just one more way the Obama Administration is...
by Keith Kuhn | Jun 15, 2013 | Government, Reimbursement
Reps. Glenn Thompson, R-Pa., and Bruce Braley, D-Iowa, have introduced a bill to delay the implementation of Round 2 of competitive bidding, according to The VGM Group. H.R. 2375, the “Transparency Accountability in Medicare Bidding Act of 2013,” would delay the...