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Fast Company
November 19, 2011
Tristram Korten
Cracking Down On $70 Billion Worth Of Medicare Fraud A pharmacy run out of this storefront near Miami billed a federal agency for $776,298 - in just nine days. There were no real employees. There were no real patients. There were no real prescriptions. How medical fraud has become an untreated epidemic. mark for My Articles similar articles
BusinessWeek
January 8, 2007
Diagnosis: Identity Theft For $60, a thief can buy your health records - and use them to get costly care. Guess who gets the bill. mark for My Articles similar articles
The Motley Fool
January 22, 2007
Dan Caplinger
Understanding Medicare: Claims In general, Medicare provides a level of coverage that is fairly similar to what private health insurance plans offer. Here are some tips for getting the most from it. mark for My Articles similar articles
The Motley Fool
August 28, 2009
Brian Orelli
Your Doctor Is Killing You ... Financially What the doctor does has a big effect on how much health care costs. mark for My Articles similar articles
BusinessWeek
October 10, 2005
Howard Gleckman
Medicare's Big Experiment The coming changes to Medicare aim to cut costs while improving care. Sound familiar? mark for My Articles similar articles
Financial Planning
November 1, 2007
Donald Jay Korn
Medicare Choices What are Medicare private fee-for-service plans and why did their fortunes rise and fall so dramatically? Most important, if these plans survive in their current form, should advisors suggest them for clients enrolled in or approaching Medicare eligibility? mark for My Articles similar articles
BusinessWeek
January 6, 2011
Justin Blum
Why Medicare Can't Catch the Fraudsters One provider's claims were paid despite unusual billing patterns mark for My Articles similar articles
BusinessWeek
January 7, 2010
Catherine Arnst
Hospitals: Radical Cost Surgery A hospital that slashes costs - and delivers high-quality care as it innovates? Yes, it exists. mark for My Articles similar articles
BusinessWeek
November 12, 2009
Catherine Arnst
10 Ways to Cut Health-Care Costs Right Now Employers and hospitals don't have to wait for Congress to address inefficiencies and waste. mark for My Articles similar articles
Managed Care
November 2007
Patient Advocates Want Part D Changes A Medicare-administered drug benefit would be more affordable and comprehensive than the current private insurance-run drug benefit, say patient advocate groups. mark for My Articles similar articles
Searcher
October 2011
Stephanie C. Ardito
The Medical Digital: Navigating the Medicare Maze Since entitlement programs are the chief governmental programs under fire, I decided to revisit the healthcare bills passed back in March (H.R. 3590, the Patient Protection & Affordable Care Act). mark for My Articles similar articles
Searcher
Jul/Aug 2010
Tara Breton
What's in the Patient's Medical Bill? If you want more understanding of medical billing, here are the basics of the U.S. medical reimbursement system that will hopefully assist you along with web resources on this subject. mark for My Articles similar articles
Pharmaceutical Executive
November 1, 2005
Rubinstein & Galardi
Bustin' a CAP: The Competative Acquisition Program The new Competitive Acquisition Program for Medicare Part B drugs aims to align market forces with the distribution of drugs and biologics that doctors administer in their offices, but increasing bureaucracy is a major downside. mark for My Articles similar articles
Managed Care
November 2005
Martin Sipkoff
Confusion Rules the Day As Medicare Part D Begins With a dizzying array of coverage possibilities, there is a strong possibility that some people who would benefit will fail to enroll in any plan. mark for My Articles similar articles
BusinessWeek
June 23, 2011
Drew Armstrong
The Simplest Rx: Check on Your Patient Doctors and insurers cut costs by sharing information. mark for My Articles similar articles
BusinessWeek
October 10, 2005
Howard Gleckman
Why MDs Are IT-Phobic Information technology promises savings for patients and health-care companies, but going electronic can be a bitter pill for the MDs footing the bill. mark for My Articles similar articles
Pharmaceutical Executive
August 1, 2013
Jill Wechsler
Costs and Coverage Challenge Medicare Drug Plans Rate cuts and fraud concerns create problems for Part D plans and Part B providers. mark for My Articles similar articles
InternetNews
December 18, 2008
Kenneth Corbin
E-Healthcare Gets Federal Mandate Department of Health and Human Services unveils best practices for ensuring patient privacy with online medical records, Medicare pushes e-prescriptions. mark for My Articles similar articles
Registered Rep.
October 13, 2011
Mark Miller
Determining Your Elderly Clients' Best-Fit in Medicare Plans You may be able to help senior clients save thousands of dollars in out-of-pocket health care costs by encouraging them to comparison shop for Medicare prescription drug and managed care options during the program's annual fall enrollment season. mark for My Articles similar articles
The Motley Fool
April 18, 2011
Travis Hoium
Community Health Systems Shares Plunged: What You Need to Know Shares of hospital owner Community Health Systems fell 10% briefly this morning after the company changed its buyout offer for Tenet Healthcare. mark for My Articles similar articles
Managed Care
July 2007
AMA: Patients Will Feel Cuts in Medicare Next year's proposed 10 percent cut in Medicare payments is serving as a rallying point for members of the American Medical Association, which says the cuts will make it difficult for physicians to accept new Medicare patients. mark for My Articles similar articles
Managed Care
January 2005
Leary & Farley
Health Plans Slow To Adopt Outpatient Prospective Payment The private sector drags its feet over Ambulatory Payment Classifications. Here are some suggestions to move acceptance along. mark for My Articles similar articles
Financial Advisor
June 2010
Andrew Gluck
Advising Doctors As medical economics change for the worse, both physicians and their financial advisors are getting organized. mark for My Articles similar articles
Managed Care
July 2002
Memo Clarifies CMS Guidelines on Injectables Injectable drugs should be covered by Medicare if beneficiaries administer them less than 50 percent of the time, according to a clarification on this issue by the Centers for Medicare and Medicaid services that's set to take effect Aug. 1. mark for My Articles similar articles
Reason
December 2008
Jacob Sullum
Auditing the Auditors A report from the Department of Health and Human Services' inspector general casts doubt on recent claims by Medicare officials that they are finally cracking down on fraud. mark for My Articles similar articles
Financial Planning
July 1, 2006
Robert M. Hayes
Preserve Medicare Medicare is a roadmap for the future healthcare of America. It should be fine-tuned and improved, not undermined and privatized as the Washington power brokers are now attempting to do. mark for My Articles similar articles
Financial Planning
April 1, 2010
Donald Jay Korn
Medicare: Change is Coming This is a great time to get together with clients over 65 who will be affected by health care changes and go over their Medicare coverage. At the same time, you can see what other areas of financial planning are on their mind. mark for My Articles similar articles
Managed Care
September 2006
We Can't Avoid Tough Decisions Forever Former Reagan administration official Jeanne Scott is working to change how health information is processed. However, that's only part of the solution. mark for My Articles similar articles
Financial Advisor
March 2008
David J. Drucker
Hidden Threat: Identity Theft What is identity theft, and what should financial advisors be telling their clients about it? mark for My Articles similar articles
Managed Care
May 2007
John Marcille
Pay for Performance Proceeds at Proper Pace The incrementalist pay-for-performance will be with us long after Medicare private fee-for-service plan is history. mark for My Articles similar articles
On Wall Street
November 1, 2012
Todd Colbeck
Boost Your Medicare Expertise What every advisor should know about government insurance to better serve clients. mark for My Articles similar articles
The Motley Fool
January 22, 2007
Dan Caplinger
Understanding Medicare: Benefits Medical coverage for seniors is a big part of a strong retirement-protection plan. mark for My Articles similar articles
The Motley Fool
April 19, 2005
Stephen D. Simpson
Taking the Air Out of Lincare Lincare has been through Medicare reimbursement cuts before. The big question is: How long before growth resumes? mark for My Articles similar articles
Financial Planning
July 1, 2011
Suzanne Sataline
Code Blue? Many financial planners say their physician clients are fretting that they won't have enough money saved to retire on schedule, and that their savings won't hold through their elderly years. mark for My Articles similar articles
Pharmaceutical Executive
June 1, 2005
Jill Wechsler
Washington Report: "D" Is for Data It is critical for Medicare to address important questions on drug safety and utilization, and about how prescribing decisions affect health outcomes and costs. mark for My Articles similar articles
BusinessWeek
May 8, 2006
Howard Gleckman
Fighting For The Right Drugs If your Medicare insurer won't cover your medication, here's how to buck the system. mark for My Articles similar articles
Financial Planning
April 1, 2007
Joan Warner
What's Next for Medicare Is America's retirement healthcare plan really in trouble? Here's some good news -- and some hard decisions for your financial advisory clients. mark for My Articles similar articles
BusinessWeek
February 20, 2006
Arlene Weintraub
Should Doctors Own Hospitals? Controversy builds over a fast-growing, profit-driven business in which specialty hospitals are partly owned and run by doctors. mark for My Articles similar articles
Managed Care
May 2005
Implementing Medicare Part D Could Get Ugly This expert who hopes to help everybody adjust, nevertheless expects big headaches come Jan. 1, 2006. However, e-prescribing could make the drug plan work. mark for My Articles similar articles
Knowledge@Wharton
July 30, 2003
Restructuring Medicare Is a Riskier Operation than First Thought Hailed as a bipartisan success when passed in late June, two Medicare reform bills are losing some of their luster as they face closer scrutiny by a conference committee made up of members of both chambers charged with reconciling the legislation this fall. mark for My Articles similar articles
Pharmaceutical Executive
August 1, 2005
Lena Chow
Docs of Shanghai They're short on status, pay, and respect, but China's young doctors hold keys to the world's fastest growing pharmaceutical market. mark for My Articles similar articles
Managed Care
February 2006
Martin Sipkoff
Don't Bet That Problems With Part D Are Over Medicare Part D enrollment snags could be just the start of political and regulatory headaches facing health plans and pharmacy benefit managers. mark for My Articles similar articles
Insurance & Technology
August 26, 2004
Babcock & McGee
Filter Out the Frauds Health insurers fight back against fake claims with fraud-detection software. mark for My Articles similar articles
Commercial Investment Real Estate
Sep/Oct 2009
Andrew Dick
Understanding Federal Healthcare Laws Commercial real estate professionals who work with medical office development must be aware of the federal healthcare fraud and abuse laws. mark for My Articles similar articles
The Motley Fool
September 1, 2010
Brian Orelli
Dendreon: One Step Closer to Worry-Free Back in July, the Centers for Medicare & Medicaid Services announced that it planned on reviewing the reimbursement for Dendreon's prostate cancer treatment Provenge. mark for My Articles similar articles
Managed Care
October 2007
John Carroll
Medicare Coverage Rules Are Not Always Last Word Yes, commercial health insurers often take a cue from the government, but that doesn't mean that they follow blindly. mark for My Articles similar articles
Managed Care
June 2002
John Carroll
DM and Medicare: A Marriage Made in Heaven? With a budget of about $230 billion for 40 million patients, many with chronic ailments, is it any wonder that disease management and Medicare are courting? mark for My Articles similar articles
Managed Care
May 2001
Jeffrey J. Denning
How To Challenge Medicare Payments Less than 6 percent of Medicare payments are protested. Of those, about 6 in 10 result in increased compensation for the physician. Odds are on your side... mark for My Articles similar articles
Managed Care
August 2001
GAO: Consultants Point Docs Toward Federal Law Violations The General Accounting Office has found that some health care consultants have been advising physicians to do things that conflict with federal laws and that may be unethical... mark for My Articles similar articles
Managed Care
March 2006
Taylor & Eck
It's Time for CMS to Release Physician Medicare Claim Information The Center for Medicare & Medicaid Services is a rich source of price and quality data. Isn't it about time it shared that data? mark for My Articles similar articles