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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. |
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. |
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. |
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. |
BusinessWeek October 10, 2005 Howard Gleckman |
Medicare's Big Experiment The coming changes to Medicare aim to cut costs while improving care. Sound familiar? |
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? |
BusinessWeek January 6, 2011 Justin Blum |
Why Medicare Can't Catch the Fraudsters One provider's claims were paid despite unusual billing patterns |
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. |
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. |
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. |
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). |
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. |
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. |
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. |
BusinessWeek June 23, 2011 Drew Armstrong |
The Simplest Rx: Check on Your Patient Doctors and insurers cut costs by sharing information. |
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. |
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. |
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. |
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. |
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. |
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. |
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. |
Financial Advisor June 2010 Andrew Gluck |
Advising Doctors As medical economics change for the worse, both physicians and their financial advisors are getting organized. |
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. |
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. |
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. |
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. |
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. |
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? |
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. |
On Wall Street November 1, 2012 Todd Colbeck |
Boost Your Medicare Expertise What every advisor should know about government insurance to better serve clients. |
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. |
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? |
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. |
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. |
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. |
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. |
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. |
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. |
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. |
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. |
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. |
Insurance & Technology August 26, 2004 Babcock & McGee |
Filter Out the Frauds Health insurers fight back against fake claims with fraud-detection software. |
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. |
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. |
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. |
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? |
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... |
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... |
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? |