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Hospital Groups Rip Regulation Efforts, Urge Better Guidance
As the scrutiny of healthcare provider payments grows, hospital leaders say regulators are increasingly undercutting physicians' medical judgment and resorting to overly punitive corrective actions using redundant and overlapping investigations.
Read the full story: http://tinyurl.com/7vozy6a
Source: ModernHealthcare.com
The sometimes-harsh criticisms of government efforts to collect money from hospitals came in response to a call from the Senate Finance Committee for provider groups to submit feedback on the best ways to cut down on fraud and abuse in Medicare and other healthcare programs.
What's at Stake as Oral Arguments Are Presented in the Braidwood Case? Q&A With Richard Hughes IV
April 21st 2025Richard Hughes IV, JD, MPH, spoke about the upcoming oral arguments to be presented to the Supreme Court regarding the Braidwood case, which would determine how preventive services are guaranteed insurance coverage.
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Varied Access: The Pharmacogenetic Testing Coverage Divide
February 18th 2025On this episode of Managed Care Cast, we speak with the author of a study published in the February 2025 issue of The American Journal of Managed Care® to uncover significant differences in coverage decisions for pharmacogenetic tests across major US health insurers.
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Comparing Breast Cancer Treatment Outcomes Between Fee-for-Service and Medicare Advantage
April 4th 2025This study examined postdiagnosis breast cancer treatment outcomes for Medicare Advantage vs fee-for-service (FFS) Medicare in Ohio and found no significant differences overall but disparities for Black patients with FFS Medicare.
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