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  • Louisiana bill would require human review of AI-driven coverage denials
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Affordable Care Act (ACA)Medicare - General
Gerry Hafer March 7, 2016March 7, 2016

Physician Groups Receive Upward, Neutral, or Downward Adjustments to Their Medicare Payments in 2016 Based on Their Performance on Quality and Cost Efficiency Measures

(Source – CMS.gov) CMS posted results from the implementation of the second year of the Value-based Payment Modifier (Value Modifier),

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Health Care - GeneralMedicare - General
Gerry Hafer March 6, 2016

Campaign Rhetoric – Comparing the Platforms

In article posted on the Columbus Dispatch, reporter Jessica Wehrman provides an in-depth comparison of the two Democratic candidates’ positions on

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Medicare - GeneralMedicare Advantage
Gerry Hafer March 5, 2016March 5, 2016

Alternative Payment Models Advocated for medicare Advantage

In a letter addressed to the Centers for Medicare and Medicaid Services, a group of 280 physician organizations urged strengthening

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Uncategorized
Gerry Hafer March 5, 2016

Fact-Checking the Campaign Rhetoric

In the most recent Republican presidential candidate debate, Fox News confronted candidate Trump on campaign pledges to save enormous sums

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Medicare Fraud; Illegal Activities
Gerry Hafer March 5, 2016

Medicare Advantage Fraud Conviction Looking at 10-year Sentence

A physician who perpetrated a false diagnosis fraud involving Medicare Advantage patients may be sentenced to 10 years in prison. Check

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Affordable Care Act (ACA)
Gerry Hafer March 4, 2016

New Analysis Suggests ACA Marketplace Enrollment Could Grow Modestly Over Next Few Years, up to 16.3 Million Sign-Ups, 14.7 Million Enrollees after Attrition

(Source – Kaiser Family Foundation) A new analysis from the Kaiser Family Foundation finds that sign-ups in Affordable Care Act

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Affordable Care Act (ACA)Health Care - General
Gerry Hafer March 4, 2016

Trump Health Plan Recycles GOP Staples And Adds A Populist Wrinkle

(By – Scott Hensley, NPR News, via Kaiser Health News) Republican front-runner Donald Trump released a seven-point plan to change

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Health Care - General
Gerry Hafer March 4, 2016

Consumer Choices Have Limited Impact On U.S. Health Care Spending: Study

(By – Michelle Andrews, Kaiser Health News) A new study throws cold water on the popular idea that consumers can

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Health Care - GeneralUncategorized
Gerry Hafer March 4, 2016

Slowing Down The ER To Improve Care For Patients With Autism

(By – Shefali Luthra, Kaiser Health News) When you head to the emergency room, you almost expect stress — the long

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Legislative UpdateMedicare - General
Gerry Hafer March 4, 2016March 3, 2016

Mandatory Payment Reduction of 2% Continues until Further Notice for the Medicare FFS Program – “Sequestration”

(Source – CMS.gov) Medicare Fee-For-Service (FFS) claims with dates-of-service or dates-of-discharge on or after April 1, 2013, will continue to

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Latest Posts

  • What to expect when you call: A look at the National Call Center for Homeless Veterans
  • What to Know About Medicare Coverage of Telehealth
  • Humana hit with class action lawsuit over tobacco surcharges
  • Cost Concerns and Coverage Changes: A Follow-Up Survey of ACA Marketplace Enrollees
  • Louisiana bill would require human review of AI-driven coverage denials

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