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Hospital Billing Shifting Costs
A hospital billing practice that can leave Medicare beneficiaries on the hook for large medical costs is becoming increasingly common, according to a report released in Health Affairs on Monday.
Three researchers from Brown University examined how frequently patients are placed on “observation status,” meaning they’re getting treatment in a hospital but are not technically admitted. That means their care is covered by Medicare Part B rather than Part A, which can leave patients responsible for a greater share of their costs.
Read the full story: http://hcp.lv/LlJboa
Source: Politico
The Legal Architecture of Psychedelic Therapy: Risks, Responsibilities, and Reimbursement Realities
July 30th 2025Key legal, ethical, and compliance considerations for managed care professionals navigating the evolving landscape of psychedelic-assisted therapy include regulatory risks, data privacy challenges, reimbursement limitations, and the need for culturally informed care models.
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Managed Care Reflections: A Q&A With Charles N. (Chip) Kahn III, MPH
July 30th 2025To mark the 30th anniversary of The American Journal of Managed Care (AJMC), each issue in 2025 includes a special feature: reflections from a thought leader on what has changed—and what has not—over the past 3 decades and what’s next for managed care. The August issue features a conversation with Charles N. (Chip) Kahn III, MPH, the president and CEO of the Federation of American Hospitals and a longtime member of the AJMC editorial board.
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