Medical Equipment Industry News

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New rule requires health plans to publicly disclose pricing for medical services
New tool will reveal prices negotiated between providers and health plans
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Florida radiology practice to pay over $500,000 to settle False Claims Act allegations
Accused of administering dye-contrast scans without proper supervision and improperly billing for services
CMS introduces new payment model for radiation oncology
ASTRO and ACR seek delay in implementation so providers can be better prepared
CMS proposes new rule for faster Medicare coverage of FDA-approved breakthrough devices
Allows beneficiaries access to more devices for life-threatening conditions
Change Healthcare acquires PROMETHEUS Analytics for value-based reimbursement
Includes over 90 episodes of care as opposed to single procedure services
US radiology lab sues CIGNA over nearly $400,000 in COVID-19 claims
Cigna accused of withholding reimbursement for diagnostic and treatment services of COVID-19 patients
Easing reimbursement policies could sustain telemedicine expansion
Embracing remote exams makes more sense than ever as the US grapples with COVID-19
Three ways payers and providers are improving collaboration during the COVID-19 pandemic
Insights from Steve Jax, alliance manager of strategic payer relationships for Availity
Struggling with self-pay: two paths
Insights from John Talaga, executive vice president for Healthcare at Flywire
Addressing social determinants of health to improve community care
Insights from UPMC on a key consideration for truly value-based care
CMS puts a hold on paperwork requirements, expands access to telehealth
Doctors can spend more time and communicate remotely with patients during pandemic
DOJ files suit against Anthem for fraud
Allegedly submitted inaccurate medical codes for higher payments for its Medicare Advantage plans
Why insurers are adding air medical services to their networks
Understanding the unique advantage coverage brings to payors
More than $5.5 billion wasted on low-value healthcare, says survey
Low-value care services widespread across US
Lowest income bracket in US contributes 33.9 percent of its income to healthcare
Researchers point to long-term care expenses and out-of-pocket costs