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MedCity CONVERGE July 9-10 in Philly gathers payers, providers, medtech, pharma, digital health, policymakers & more.

Topic: CMS reimbursement

Lawsuit aims to overturn Medicare rules for “observation” care

Lawsuit aims to overturn Medicare rules for “observation” care

May 3, 2013 5:52 am by | 1 Comments

Hospitals don't have to tell patients they are under "observation" care and Medicare will not cover the costs of that care if the patient is not admitted. Patients who are ... Read more
Proposed 2014 Medicare Advantage rates cut insurer payments

Proposed 2014 Medicare Advantage rates cut insurer payments

February 19, 2013 10:10 am by | 0 Comments

(Reuters) - Proposed reductions in government payments for Medicare Advantage insurance plans - estimated at $11 billion by an insurance industry trade group - sent health insurer shares lower on ... Read more
U.S. top court rejects hospitals’ Medicare claims suit

U.S. top court rejects hospitals’ Medicare claims suit

January 23, 2013 10:03 am by | 0 Comments

(Reuters) - The U.S. Supreme Court rejected on Tuesday a bid by a group of 18 hospitals to reopen a specialized group of Medicare reimbursement claims that are up to ... Read more
The “right” to healthcare does not require a doctor to work for free

The “right” to healthcare does not require a doctor to work for free

November 23, 2012 1:25 pm by | 320 Comments

After the election, a lot of people are excited that they can now get healthcare. Or maybe not quite yet, but by 2014, when ObamaCare is fully implemented.The only problem ... Read more
AHA sues Medicare over audit program aimed at trimming improper payments

AHA sues Medicare over audit program aimed at trimming improper payments

November 3, 2012 8:00 am by | 0 Comments

The American Hospital Association sued the agency that oversees Medicare, saying an audit program is depriving hospitals of reimbursements for care they provide. ... Read more
Analyst: Edwards Lifesciences’ missed TAVI sales akin to U.S Ryder Cup loss

Analyst: Edwards Lifesciences’ missed TAVI sales akin to U.S Ryder Cup loss

October 9, 2012 2:55 pm by | 0 Comments

Losing the Ryder Cup this year to the Europeans was every bit unexpected.Almost as unexpected as Edwards Lifesciences suddenly pre-announcing late Monday that it would miss its 3rd quarter revenue ... Read more
What’s the best way to avoid Medicare readmission penalties? Stop trying

What’s the best way to avoid Medicare readmission penalties? Stop trying

September 17, 2012 7:17 am by | 2 Comments

As a cardiac electrophysiologist, I’m pretty far removed from public policy. But I have to admit that I was interested in the latest move by CMS to cut their Medicare ... Read more
Mayo, S.F. startup launch health IT tool to track data around cardiology patient readmits

Mayo, S.F. startup launch health IT tool to track data around cardiology patient readmits

September 10, 2012 10:30 am by | 0 Comments

The Mayo Clinic announced Monday that it is partnering with a California startup that aims to provide unparalleled insight into a hospital’s performance data with the goal to improve healthcare ... Read more
Questcor gets approval for 77% cut in Medicaid rebate for MS drug Acthar Gel

Questcor gets approval for 77% cut in Medicaid rebate for MS drug Acthar Gel

September 4, 2012 8:35 am by | 0 Comments

(Reuters) - Questcor Pharmaceuticals Inc said it is now eligible to provide lower Medicaid rebates on its flagship multiple sclerosis drug, Acthar Gel, allowing for improved financial results in the ... Read more
New Tool to Help Physicians Get Maximum Reimbursement

New Tool to Help Physicians Get Maximum Reimbursement

January 19, 2012 2:46 pm by | 1 Comments

The U.S. health care industry has evolved and changed rapidly over the past several decades. This evolution took place in response to a number of environmental influences including, technological advances, ... Read more