Federal lawmakers put forward competing proposals to ban surprise billing, with key difference

This article was published in Healthcare Dive by Shannon Muchmore UPDATE: May 16, 2019: A bipartisan group of senators plans to put forward a separate surprise billing proposal. It is similar to the House bill, but includes an arbitration clause. House lawmakers on Tuesday released a bipartisan draft bill to ban...

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Deductibles, coinsurance on the rise

Article originally published in Healthcaredive.com. Author: Les Masterson Members in large employer health plans saw their payments for deductibles and coinsurance increase faster than the total cost for covered benefits between 2006 and 2016. A new Peterson-Kaiser Health System Tracker report found deductibles rose 176% and coinsurance increased 67%...

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Healthcare turns to zero-interest loans

Originally published in Healthcare Finance News by Jeff Lagasse Zero-interest loans are finding a fresh customer base in healthcare, as consumers struggle to pay their bill and providers scramble to avoid racking up bad debt. It’s an approach that has benefited both sides of the patient-provider relationship. “It’s more centered...

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Judge blocks Aetna-Humana merger

Originally published in Healthcare Dive Author: Ana Mulero Dive Brief: On Monday, Judge John B. Bates of the U.S. District Court for the District of Columbia blocked the proposed $37 billion merger between insurance giants Aetna and Humana over antitrust concerns. In his ruling, the judge stated the insurers “proffered...

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Cash flow, reimbursement are biggest challenges facing physicians in 2017, survey shows

This article was originally published in healthcarefinancenews.com and written by Beth Jones Sanborn Almost 70 percent cited cash flow and reimbursement as their top concerns, with similar numbers saying waiting for payment is painful. In 2017, cash flow and reimbursement for patient treatment will be the two most pressing...

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How Can Healthcare Consumers Be Better Financially Engaged?

By Jacqueline DiChiara on May 13, 2015 This article was originally published in RevCycleIntelligence.com As medical costs increase due to high deductibles and rising out-of-pocket costs, healthcare consumers are emptying out their wallets in a struggle to keep up. The act of paying a medical bill is a component of patient experience and satisfaction...

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Medical Billing Companies: Are you liable for submitting false claims?

This article was originally posted by Stephen D. Bittinger on Linkedin While the majority of my clients are physician groups or larger private healthcare entities, we have seen an increase in the number of medical billing companies being caught up in litigation with clients and entangled in False Claims...

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Justice Dept. lawyer argues that Aetna-Humana deal would violate antitrust law

Article by Diane Bartz (Washington Post) A Justice Department attorney told a federal judge on Monday that health insurer Aetna’s planned acquisition of Humana would break antitrust law by reducing competition in Medicare Advantage and Affordable Care Act exchange businesses, kicking off a trial expected to last weeks. The...

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Doctors And Hospitals Say ‘Show Me The Money’ Before Treating Patients

By Michelle Andrews Tai Boxley needs a hysterectomy. The 34-year-old single mother has uterine prolapse, a condition that occurs when the muscles and ligaments supporting the uterus weaken, causing severe pain, bleeding and urine leakage. Boxley and her 13-year-old son have health insurance through her job as an administrative...

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Avoid Being the Next Kickback and False Claims Defendant

Let a case show you why it’s important for your healthcare system to Implement effective compliance programs. This article was originally published at the American Academy of Professional Coders’ website. By Ann M. Bittinger, Esq. United States of America ex rel. Baklid-Kunz v. Halifax Hospital Medical Center is one...

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