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What do you do when you have less money to spend?
Most of us use the same logic. If you have less money in your budget to spend, you cut costs. You tighten your belt and do away with luxury items and figure out ways to stretch your dollars. I...
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States are beginning talks on Medicaid Expansion.
Many states are beginning official sessions on how to successful implement Medicaid Expansion, as mandated by the Affordable Care Act (ACA). The ACA plans to expand Medicaid benefits to people who earn...
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Why are providers constantly being targeted as the bad guy?
I have just read an article that has me incensed! It has been my opinion over the last 10 years that there is a hidden agenda to make providers out to be the bad guy when it comes to “skyrocketing...
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Heads-Up on Medicare Changes – Everything Else Will Follow Suit
It is important that we all pay attention to the changes being implemented to our current Medicare system, as it will impact healthcare in American, regardless of whether you are currently on Medicare,...
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You might see a 2% cut in Medicare reimbursement on Monday.
Nearly $1 trillion in mandatory across-the-board budget cuts were delayed in January until today by Obama, which was negotiated by Vice-President Joe Biden and Senate Minority Leader, Mitch McConnell...
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2% Medicare Cut effective April 1, 2013
The 2% cut to Medicare reimbursement is part of the first installment of the nearly $1 trillion mandated across-the-board cuts that President Obama signed an order to initiate on Friday, March 1, 2013....
View ArticleSpecial Alert: CMS announces details on implementing sequestration cuts to...
Special Alert CMS announces details on implementing sequestration cuts to Medicare claims The Centers for Medicare & Medicaid Services (CMS) released the following message today regarding Medicare...
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A shortage of physicians?
It seems we may have a shortage of primary care providers come January 1, 2014. In the state of California, it is expected that there will be between 1.7 million to 3 million new people enter the...
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Doctor’s Don’t Hand out Bitter Pills
I am a champion for professional medical providers, which means any person that takes care of you when you are sick or helps you with your overall health. I want to make sure they aren’t lumped into...
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More Employers looking for Value Based Health Plans.
The results of a recent survey funded by the Commonwealth Fund and California Health Care Foundation shows more employers are wanting to switch to Value-Based Health Plans. It makes sense that...
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Obamacare 101
Most Americans have no idea how the Affordable Care Act will impact us fully until its implemented. We have compiled a list of some basic facts to help you know what to expect on January 1, 2014:...
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Healthcare Costs – Fact or Fiction?
How is it that the Centers for Medicare and Medicaid (CMS) can release data on hospitals’ charges for common inpatient services and claim to show the public what those services actually cost by...
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Experts continue to predict higher insurance premiums in 2014.
Currently, insurance carriers are expecting to raise their current premiums by 40-70% in 2014 in order to compensate for the influx of people with pre-existing conditions who thus far have been kept...
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A Potential Costly Loophole to Providers in the Affordable Care Act
A potential costly loophole in the Affordable Care Act has been discovered and will only be tested once the whole system is up and running. Individuals who qualify and purchase a subsidized health...
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The Times of CMS “Kicking the Can Down the Road” Are Over.
It looks like a permanent “doc fix” is here. The “doc fix” was the name given to Congress’ continual stay on the 25 percent reduction to providers reimbursement that was tied to the outdated...
View ArticleALERT: ICD-10 DEADLINE POSSIBLY EXTENDED UNTIL 10/1/15…
In an attempt to get the permanent fix to the current SGR formula used to set physician’s fee for Medicare, the House threw in an extension to the ICD-10 implementation extending from 10-1-14 to...
View ArticleMid-level providers needed asap…
With the Affordable Care Act in play, mid-level providers are just what the doctor ordered, no pun intended… It was just reported that California enrolled 1.4 million people through the California...
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Anthem Blue Cross sued…could it finally be justice served?
A consumer watch dog group filed a class action lawsuit against Anthem Blue Cross on Tuesday, July 8, 2014. The lawsuit alleges Anthem Blue Cross mislead millions of consumers during the October 1,...
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Blue Shield of California is Stripped of Its’ Non-profit Status
According to news reports, Blue Shield of California has been stripped of its non-profit status by the California Franchise Tax Board due to their surplus at the end of 2014 being four times as much as...
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Did we finally replace the SGR once and for all? Only if Senate will approve...
Last month the House approved H.R.2 – Medicare Access and CHIP Reauthorization Act of 2015 – which would permanently replace Medicare’s Sustainable Growth Rate (SGR) formula, which is used to determine...
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