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Coalition files suit to block CA Medi-Cal cuts

Nobody's happy when the state cuts reimbursement rates for a program that already doesn't pay so well. But when California threatened to cut rates 10 percent for Medi-Cal, its program for the poor, a... Read more...

BCBS of MA plans reimbursement changes

Blue Cross and Blue Shield of Massachusetts, the dominant health insurer in the state, is making a major change in the way it pays its physicians. It's moving from fee-for-service payments to offer... Read more...

Leavitt: Medicare formula isn't working

HHS Secretary Mike Leavitt has come out and admitted that Medicare's "sustainable growth rate" formula used to determine physician compensation is more or less broken. In a recent meeting... Read more...

ALSO NOTED: Heparin overdose at Cedars-Sinai; Health Net loses CN contract; and much more...

> A group of patients, including two infants born to actor Dennis Quaid, are recovering from a substantial heparin overdose administered earlier this month at Cedars-Sinai Medical Center in Los... Read more...

Trend: Physicians dispensing drugs in offices

While it's far from an established practice, physicians are increasingly beginning to sell prescription drugs in their offices. Right now, only 10 percent of U.S. physicians do so, but the number... Read more...

Sale of financially-troubled Caritas Christi fails

The Archdiocese of Boston continues to struggle to sell or turn around its financially-troubled Caritas Christi Health Care. Most recently, the Archdiocese failed in its bid to unload Caritas to a... Read more...

Heart and lung surgeon shortage coming

At one time, being a cardiothoracic surgeon was one of the highest-status specialties a physician could practice--and many students responded by taking up the arduous training needed to become one. Today, however, it seems that status alone isn't enough. Increasingly, surgeons-in-training are refusing to undergo the 12-year training program needed to become a cardiothoracic specialist. Students are afraid they won't be able to pay back the huge student loans needed to fund this training, …

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MD groups seek new Medicare rate formula

The current system Medicare used to gradually bump up reimbursement rates for physicians isn't fair, and should be replaced by one which takes physician practice costs into account, a group of 87 medical organizations told Congress. The group, which includes the American Medical Association, notes that hospitals and nursing homes are paid based on their costs. However, physicians are paid based on a formula known as the sustainable growth rate (SGR), tied to the U.S. economy, which has …

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Physicians winning reimbursement fights

Physicians have always battled health plans over reimbursement rates. Often, they feel outgunned by health plans which, despite needing doctors, are the ones who ultimately cut the checks. But of late, the tide may …

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Press Release: U.S. Joins Suit Against Pharmaceutical Manufacturer Boehringer Ingelheim Roxane

Press Release: U.S. Joins Suit Against Pharmaceutical Manufacturer Boehringer Ingelheim Roxane

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