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Envision no longer in network with UnitedHealthcare
UnitedHealthcare did not renew its in-network contract with Envision Healthcare for 2021, according to a Dec. 31 news release. -
Appeals court allows California surgery center to seek $1M+ in unpaid claims
The U.S. Ninth Circuit Appeals Court allowed Los Angeles-based Beverly Oaks Physicians Surgery Center to seek unpaid claims from Blue Cross and Blue Shield of Illinois, reversing a decision from a district court, according to a Dec. 17 court filing. -
Surprise billing legislation included in COVID-19 stimulus package
Congress is expected to pass legislation around surprise medical billing in its COVID-19 year-end relief package, The Hill reported Dec. 20. -
How practice setting, specialty influences physician compensation
Salary represents a much higher portion of income among hospital-employed physicians than it does for physicians in single- and multispecialty practice, according to research published in December by the American Medical Association. -
Pay is productivity-based for nearly 55% of physicians — 5 compensation insights
Salary and compensation based on productivity were the two most common payment methods for physicians in 2018, according to research published in December by the American Medical Association. -
How much can insurers save by moving total joints to ASCs? 6 key figures
Minnetonka, Minn.-based UnitedHealth Group published research Dec. 10 examining the savings that could result from performing joint replacements in ASCs instead of hospital inpatient settings. -
UnitedHealth: Moving total joints to ASCs could yield $3B in annual savings
Minnetonka, Minn.-based UnitedHealth Group on Dec. 10 published new research touting the major advantages of moving routine joint replacements from hospitals to ASCs. -
Outpatient jobs, consumer health spending show resilience — 5 key insights
COVID-19 may have shattered the assumption that healthcare is recession-proof, but a new report from commercial real estate firm Cushman & Wakefield predicts that demand for medical space will be resilient, GlobeSt.com reported Dec. 11. -
Are physician compensation, productivity surveys obsolete? — 5 points from VMG Health
It may be time to change the way organizations set physician compensation rates, according to healthcare valuation and transaction advisory firm VMG Health. -
CMS continues separate payment for surgical drug in ASCs — 3 insights
ASC can continue to receive separate payment for Omeros' cataract surgery drug, Omidria, under CMS' 2021 Hospital Outpatient Prospective Payment System and ASC Payment System Final Rule. -
ASC budgeting for 2021: 6 execs outline their strategy
ASC administrators had to change plans during the pandemic after some temporarily closed or lowered procedure volume to conserve resources and stem the spread of COVID-19. -
Accounting for ASC case expenses — 3 benefits + 3 best practices
To help their industry continue to grow, ASCs must meticulously account for direct and indirect procedure expenses, also known as case costing, according to Regent Surgical Health. -
The Cash Pay Lie and Other Costly Realities
In an effort to maintain or increase patient volume and reduce collections costs, physician groups increasingly are offering substantial discounts to patients who pay cash up front for their medical care. -
Patient collections in the time of COVID-19 — 2 ASC leaders discuss
With the COVID-19 pandemic continuing to affect patient and practice finances, Becker's ASC Review asked surgery center leaders about the state of revenue cycle processes. -
8 largest insurers by revenue — UnitedHealthcare is No. 1 with $201B
UnitedHealthcare Group is the country's largest insurance company by both total revenue and lives covered, according to ValuePenguin, a resource for consumers looking to make more informed financial decisions. -
Emergency Medicine is Facing the Imperfect Storm in 2021
Last year, the Centers for Medicare and Medicaid Services (CMS) physician fee schedule (PFS) included a reimbursement increase for emergency department evaluation and management (E/M) codes. -
The largest health insurers in all 50 states
ValuePenguin, a resource for consumers looking to make more informed financial decisions, identified the largest medical insurance providers in each state and Washington, D.C. -
Independent physicians fear practices won't make it through COVID-19 — 10 key stats
U.S. physicians are concerned about finances during the COVID-19 crisis, along with care quality and telehealth, according to a three-part survey conducted by global management consulting firm McKinsey & Co. -
5 biggest health insurers by membership
UnitedHealthcare is the country's largest health insurance company, covering 48.9 million members, according to ValuePenguin, a resource for consumers looking to make more informed financial decisions. -
The ASC payer landscape in 2021: 6 administrator insights
Six ASC administrators from California to New Jersey discuss the payer landscape in their area and what they expect in the next year.
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