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How a new Stark Law exception could help physicians
The Consolidated Appropriations Act of 2023 updated exceptions to Stark Law and Anti-Kickback law that will allow hospitals and healthcare providers to improve mental health services for physicians, attorneys from law firm ArentFox Schiff wrote in an article published by JDSupra on June 13. -
Optum plans for continued hip, knee ASC volume growth
OptumHealth's network of providers and surgery centers is seeing strong outpatient surgery volumes, especially for hips, knees and senior services. -
How physician can become 'captains of their own fates' once more
Harry Severance, MD, an adjunct assistant professor at Durham, N.C.-based Duke University School of Medicine, joined Becker's to discuss how physicians can leverage their power. -
Medicare reimbursements: 5 notes to know
Physicians and ASCs continue to raise concerns about the adequacy of Medicare reimbursement as operating costs continue to soar. -
Outpatient site-neutral pay pitched (again) to CMS: 5 notes
MedPAC advocated for site-neutral pay for 66 outpatient procedures in a June 15 report, lowering 57 procedures to the office-based care rate and nine procedures to ASC rates. -
5 antikickback suits to know
Here are five healthcare antikickback cases to know from the last month: -
Ohio bill seeks to improve prior authorization process
The Ohio Legislature has introduced a new bill designed to streamline the prior authorization process by giving a yearlong exemption to providers who have an average of 80 percent or more of their requests approved, according to a June 12 report from NBC affiliate WKYC. -
Aetna in the headlines: 4 updates in 60 days
Here are four stories Becker's has covered about CVS Health's insurance company, Aetna, since April 20: -
Physicians want a noncompete ban now. Here's why.
The American Medical Association is taking action to ban noncompete contracts for physicians employed by for-profit or nonprofit hospitals, hospital systems or staffing company employers, according to a June 13 blog post from the AMA. -
2 payers delaying policy changes following industry pushback
Two major national payers, UnitedHealthcare and Cigna, recently switched or delayed planned policies due to pushback from industry leaders, patients and physicians. -
Why 'ASCs will be squeezed out' of healthcare if things don't change
The future of ASCs heavily depends on the outcome of the struggle for better payments. -
Connecticut set to loosen physician noncompete requirements: 5 things to know
The Connecticut Legislature has passed a bill amending the state's physician noncompete statute, attorney Justin Theriault of law firm Jackson Lewis P.C. wrote in an article published by JDSupra on June 12. -
6 major payers secure spot on Forbes' Global 2000
Forbes has released its annual Global 2000, a ranking of the world's largest companies based on metrics including sales, profits, assets and market value. -
Supreme Court false claims ruling could raise stakes for physician billing
The Supreme Court voted unanimously to reopen two false claims cases, issuing an opinion that could expand antifraud statute scope, Medscape reported June 13. -
Aideo, Surgical Notes partner for AI medical coding
Artificial intelligence-powered coding services provider Aideo Technologies has partnered with Surgical Notes, a leader in providing billing solutions for ASCs, to bring AI-powered medical coding workflow and productivity solutions to the ASC market. -
Physician indicted in $4M+ Medicare fraud scheme
Physician David Becerril, MD, has been charged with 16 counts for his role in a telemarketing scheme that allegedly defrauded Medicare of more than $4 million. -
Here's what the most commonly performed ASC procedure costs at ASCs vs. HOPDs
The most commonly performed ASC procedure is an extracapsular cataract removal with insertion of intraocular lens prosthesis, according to data from Definitive Healthcare. The average cash price of a cataract eye surgery is $2,733 at ASCs, versus $3,995 at hospital outpatient departments, according to data from Sidecar Health's care price calculator. -
5 recent CMS updates to know
Here are five updates from CMS that Becker's has reported on since June 6: -
Why a lack of ASCs could be driving up healthcare costs in Massachusetts
Massachusetts' high healthcare prices and the financial burden it has consequently placed on patients is causing state lawmakers to take a hard look at healthcare spending, WBUR reported June 8. -
Certificate-of-need laws stunt ASC growth — but change in some states may be imminent
The growth of ASCs reflects their status as a proven model for high-quality procedures and low costs, but their development faces a considerable obstacle in many markets: certificate-of-need laws.
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