Deleware Online | Early last year, four Delaware patients needed emergency heart-related procedures only days after Blue Cross Blue Shield of Delaware refused to pay for a nuclear cardiac stress test to measure blood flow to the heart, according to results of a state investigation.
But the final outcome...
Diagnostic Imaging | High utilizers of advanced medical imaging beware: the Medicare Payment Advisory Commission (MedPAC) just voted 15-1 this month to recommend to Congress that the top tier of referrers of advanced medical imaging should get prior authorization first.
The imaging studies include MRI, CT,...
ImagingBiz | The U.S. Department of Health and Human Services (HHS) yesterday released proposed new rules to aid physicians, hospitals, and other health care providers in better coordinating care for Medicare patients through Accountable Care Organizations (ACOs).
Under the proposal, on which HHS will be seeking...
HealthLeadersMedia | Raising the Medicare eligibility age from 65 to 67 in 2014 would generate about $7.6 billion in net savings to the federal government, but it would add $5.6 billion in out-of-pocket costs for 65- and 66-year-olds, and $4.5 billion in employer retiree healthcare...
Los Angeles Times | California emergency room doctors are fighting to preserve a state fund that compensates them for treating poor, uninsured patients at private hospitals — money that lawmakers want to shift to the federal insurance program in order to help bridge the budget...
