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News

Proposed three-year doc fix helps primary care, puts off SGR

With just days left to avert the planned 21 percent cut to Medicare physician pay, Congress has proposed a new three-year fix that would for the first time pay more for general (primary) care than Read more...

Contracting practices create Mass. hospital pricing disparities

Contracting practices that "reinforce and perpetuate disparities in pricing" have created problems in the commercial healthcare marketplace in Massachusetts, raising concerns that existing systemic Read more...

Hospital execs sweat the details of healthcare reform

Hospital executives are sweating healthcare reform details as the deadlines for passing the massive legislative effort get closer. Arguably, hospital executives have perhaps the most to lose among Read more...

Quest will pay $302M in whistleblower settlement

Testing firm Quest Diagnostics has agreed to pay the federal government $302 million to resolve civil and criminal charges involving a subsidiary closing in 2006, as well as certain diagnostic test Read more...

SPOTLIGHT: CT-based BCBS enrollees may lose hospital coverage

Middletown, CT-based Middlesex Hospital will not accept insurance from Anthem Blue Cross Blue Shield members as of May 1 unless a new agreement is reached. In recent days, negotiations over terms and Read more...

MD insurance commissioner seeks CareFirst audit

For some time now, critics in Maryland and Washington, D.C. have argued that local health plan CareFirst BlueCross BlueShield was maintaining too large a reserve to fit its non-profit mission. Now, Read more...

After Medicaid reimbursement allegations, LA hospital agrees to $3.3M settlement

After allegedly collecting Medicaid reimbursement as a Level 1 pediatric-intensive care provider, despite not qualifying for such a status, Marrero, LA's West Jefferson Medical Center will now pay Read more...

Health Net charged $41M for underpaying out-of-network claims

Health plan Health Net has paid out $41 million to the New Jersey state Department of Banking and Insurance to settle charges that it underpaid out-of-network claims for 88,000 customers in the Read more...

Cancer care not affected by Medicare cuts

When the Medicare Modernization Act of 2003 cut payments to oncologists for delivering chemotherapy drugs to patients, some observers were worried that it would upend the industry. Policymakers Read more...

Press Releases

Kern Medical Center Awarded Federal Funds for Meaningful Use of OpenVista Electronic Health Record

Medsphere’s OpenVista enables California county hospital to meet Medicare and Medicaid requirements of federal reimbursement program, cover initial EHR investment costs CARLSBAD & BAKERSFIELD, Read more >>

Transamerica Launches New Voluntary Prescription Drug Indemnity Benefit for Part-Time and Limited-Income Workers

Convenient TransChoice Plus ID/debit card speeds up reimbursement; deep discounts stretch healthcare dollars LITTLE ROCK, Ark.--(BUSINESS WIRE)-- Transamerica Employee Benefits, formerly known as Read more >>

Red Tape a Major Barrier to the Use of Telemedicine, Study Shows

PHOENIX--(BUSINESS WIRE)-- Administrative burdens and limits on reimbursement are among the obstacles keeping hospitals from choosing to implement potentially lifesaving telemedicine programs, Read more >>

Midland Memorial Hospital Receives Federal Funds for Meaningful Use of OpenVista Electronic Health Record

Medsphere’s OpenVista enables Texas county hospital to meet Medicare and Medicaid requirements of federal reimbursement program and receive more than initial investment cost of OpenVista CARLSBAD, Read more >>

Hoboken University Medical Center Receives Federal Stimulus Funds for Achieving Meaningful Use with Medsphere’s OpenVista

New Jersey hospital is one of first community facilities to receive federal reimbursement for use of health IT system CARLSBAD, Calif.--(BUSINESS WIRE)-- Medsphere Systems Corporation today Read more >>