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FOIA lawsuit uncovers audits showing 35 health plans overbilled Medicare Advantage
A federal review of health insurers operating Medicare Advantage plans shows that 35 health plans overbilled the federal Centers for…
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Reference pricing for ‘shoppable’ health care services steers consumers to low-cost providers
When Safeway, a grocery store chain, introduced reference pricing for the most commonly used clinical laboratory tests, spending on those…
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Watch for potential pitfalls as CMS tests a new bundled payment program for cardiac care
The Centers for Medicare & Medicaid Services just announced a five-year test, to begin next summer, of a new way…
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Incremental progress seen in price transparency, but report may rate A+ among journalists
Progress toward widespread price transparency comes slowly, according to the latest annual report from the Health Care Incentives Improvement Institute…
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How oncologists are getting cancer patients involved in discussions about costs, quality
Physicians and other health care providers are just beginning to talk with patients about health care costs and quality. On…
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New studies raise the question: Are out-of-pocket costs getting out of control?
Two new studies indicate that out-of-pocket costs of health care are rising sharply. The share of costs that consumers are…
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For finance editor, covering value-based care takes well-versed sources, hours of interviews
We’ve all heard the talk about how the health care system is moving quickly from fee-for-service payment to value-based care.…
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HIPAA experts: No need to request a waiver after Orlando shooting
Since Sunday’s horrific shooting in Orlando that killed 49 people and injured 53 patrons at the Pulse night club, journalists…
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Upcoming webcast: How oncologists are involving cancer patients in discussions about treatment, costs
In 2013, Nick Mulcahy reported for Medscape that oncologists at the Duke Cancer Center used the term “financial toxicity” to…
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There’s more to surprise medical bills than patients’ horror stories
Surprise medical bills are not new but they certainly have become a big story nationwide. In most of these stories,…