A Bloomberg News report describes what it calls a "heart surgery factory" at Mt. Sinai Hospital in New York City. But the practice of scheduling emergency procedures in order to maximize reimbursement is widespread, according to Forbes.
Despite public controversy over narrow networks, plans with smaller networks aren't necessarily bad, according to Ezekiel Emanuel, a former White House health adviser who helped design the Affordable Care Act.
High-risk security vulnerabilities were discovered in audits of information system general controls at 10 state Medicaid agencies between 2010 and 2012, according to a report published this week by the U.S. Department of Health & Human Services Office of Inspector General.
New Jersey hospitals spent more than any other industry in the state to lobby against funding cuts in 2013, according to a report released this week.
Idaho's St. Luke's Health System and the Saltzer Medical Group filed a motion this week to suspend a federal judge's order to dissolve their partnership due to antitrust concerns.
Hospitals now appeal about half of all RAC payment denials, which cause long delays associated with the process, according to the latest survey from the American Hospital Association.
Despite calling the Centers for Medicare & Medicaid Services' recent announcement of increased flexibility for hardship exemptions in relation to Meaningful Use Stage 2 "vital relief" for hospital CIOs, College of Healthcare Information Management Executives President and CEO Russell Branzell says that many concerns still remain.
How did states' approach to Affordable Care Act implementation influence insurer participation, competition and premiums? To find out, a new Robert Wood Johnson Foundation brief compared five actively pro-reform states with three states that have taken only a limited approach to or have not participated in the healthcare reform law.
Attorney David Holtzman, former senior adviser at the U.S. Department of Health & Human Services Office for Civil Rights, expects OCR will begin its HIPAA audit program in April, and says it's important for providers to be prepared from all angles.
St. Luke's hospital and Idaho's largest independent physicians' practice filed a motion this week to suspend a federal judge's order to dissolve its partnership while it appealed a ruling that their joint venture violated federal antitrust laws.