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Reimbursing in Medical News

Anthem Blue Cross Announces Initiative Aimed at Preventing Serious Medical Errors; Company Committed to Protecting Members' Health and Finances by Not Reimbursing Major Preventable Adverse Events

WOODLAND HILLS, Calif., April 2, 2008 /PRNewswire/ -- Anthem Blue Cross announced today process changes for its hospital network to be implemented this year. The changes will include reimbursement modifications and are aimed at eliminating preventable adverse events as defined by the Centers f...

Anthem Blue Cross and Blue Shield in Wisconsin Announces Initiative Aimed at Preventing Serious Medical Errors; Company Committed to Protecting Members' Health and Finances by Not Reimbursing Major Preventable Adverse Events

MILWAUKEE, April 2, 2008 /PRNewswire/ -- Anthem Blue Cross and Blue Shield in Wisconsin announced today process changes for its hospital network to be implemented this year. The changes will include reimbursement modifications and are aimed at eliminating preventable adverse events as defined ...

Researchers Study Reimbursing Living Organ Donors for Out-of-Pocket Expenses

More than 80,000 people in the United States are on waiting lists for organ transplants. Some will have to wait for the death of a matching donor, but more and more people are// receiving organs from living donors. Last year nearly 7,000 people donated a kidney, segment of the liver or lobe o...

Data: Actual imaging use far below president's recommended 95 percent utilization rate for Medicare

...6 and 2007, after the implementation of the DRA, the volume of DXA screenings declined by .2 percent. This marked the first time since Medicare began reimbursing physicians for DXA screenings that the volume of screening declined. Instead of accepting the MedPAC recommendations without proper scrutiny, an...

Data: Actual imaging use far below President's rec. 95 percent utilization rate for Medicare

...6 and 2007, after the implementation of the DRA, the volume of DXA screenings declined by .2 percent. This marked the first time since Medicare began reimbursing physicians for DXA screenings that the volume of screening declined. Instead of accepting the MedPAC recommendations without proper scrutiny, an...

Bio-Optronics Incorporates RxPaying(TM) Patient Stipend Debit Card Feature in Clinical Conductor(TM) Clinical Trial Management System (CTMS)

... Our RxPaying(TM) service offers electronic reimbursement for the clinical research industry. RxPaying(TM) streamlines and simplifies the process of reimbursing patients for participation in clinical research studies through the use of an instant issue debit card. www.interspond.com CONTACT: Bio-Opt...

Bill Clinton, Health Groups to Tackle Childhood Obesity

...sive way." The current initiative aims to address the obesity-related healthcare needs of almost 1 million children in the program's first year, by reimbursing doctors and registered dietitians for providing health care and in-depth nutritional counseling to kids on an ongoing basis. In addition, participatin...

WellPoint Joins New York Attorney General in Creation of New Independent Database for Out-of-Network Reimbursement

...s the Attorney General's goal of making health care costs more transparent. "WellPoint is committed to appropriately processing claims and fairly reimbursing healthcare providers for covered services under the terms of each member's contract, while at the same time protecting our members and group customers...

Circumcision rates lower in states where Medicaid does not cover procedure

...fe. "Since children whose childbirth expenses are paid for by Medicaid are, by definition, lower income, the Medicaid policy in 16 states of not reimbursing for male circumcision is generating future disparities in health between children born to rich and poor families," Leibowitz said. In 1999, the ...

AMA Claims Victory With Record Breaking Settlement in Case Against Insurer

...enix database to determine the reimbursement rates for out-of-network care. Today's settlement will ensure United Health Group is held accountable for reimbursing the patients and physicians it shortchanged through the use of this flawed database. The settlement supports the separate agreement between United Hea...
Reimbursing in Medical Technology

ACR Supports American Cancer Society Inclusion of CT Colonography (Virtual Colonoscopy) as Recommended Screening Tool for Colorectal Cancer in New Screening Guidelines

... to begin being screened for colorectal cancer at age 50 and we strongly urge Medicare and private insurance companies to support screening efforts by reimbursing appropriately for CT colonography," said Moore. Colorectal cancer is the third most common cancer and second leading cause of cancer death in the ...
Reimbursing in Biological Technology

Adoption of Personalized Medicine May Yield Significant ROI; Time to Achieve Benefit Varies Among U.S. Health Care Stakeholders, According to Deloitte Report

... Policy makers will need to consider incentives for commercial health plans to adopt personalized medicine by leading by example (for example, reimbursing these technologies). They can also consider leveraging the connection between personalized medicine with the Orphan Drug Act, as well as supporting R&...

Hoana Medical and Hawai'i Union Health and Welfare Trust Funds Partner to Fix Healthcare

...eople will have access to cutting edge, state-of-the-art technology while in the hospital -- all paid for by the union health and welfare trust funds, reimbursing hospitals at $18 per day per bed. This improves the quality of patient care while reducing the costs to the unions and their members and dependents --...

Congress Extends 2007 Reimbursement Rates for Radioimmunotherapies for 18 Months

...es," said James A. Bianco, M.D., President and CEO of CTI. "We continue to work with Congress and CMS to establish a permanent payment methodology for reimbursing radioimmunotherapies, and look forward to the President signing the bill into law." CTI purchased the U.S. sales, marketing, and development rights ...

International Wound Care Experts, Medline Announce Pressure Ulcer Prevention Consensus Paper

...ave acquired pressure ulcers while under hospital care. This is one component of the Centers for Medicare & Medicaid Services' (CMS) new policy of not reimbursing at a higher diagnostic category for eight adverse events that have been identified by the CMS as preventable. It was concern over the new policy's imp...

Parks Associates' Digital Health Analyst to Present Latest Research and Forecasts at ATA Show

... the insurance industry. This study provides perspectives from private payers on the digital health monitoring business and analyzes their interest in reimbursing telehealth technology and services. What: "Technology Meets Medicine: Business Models and Distribution Strategy" Parks Associates is o...

House and Senate Pass Medicare Legislation to Freeze 2008 Reimbursement for Therapeutic Radiopharmaceuticals at 2007 Levels

...egislation will maintain the status quo and provide the drug manufacturers the opportunity to work with CMS on developing an equitable methodology for reimbursing therapeutic radiopharmaceuticals." Cell Therapeutics, Inc. (CTI) (Nasdaq: CTIC ; MTAX) has signed an agreement to acquire the U.S. marketing, sales...

QMed, Inc. Reports July Medicare SNP Enrollments

... specializes in serving high-risk populations of Medicare beneficiaries. The Company also operates a Medicare Demonstration to test the feasibility of reimbursing its care coordinated DM services in the vast Medicare fee-for-service program. More information on QMed, Inc. can be obtained at http://www.qmedinc.c...

Congresswoman Baldwin secures Federal Funds for UW-Rock County

...udents better so they're better prepared for the workforce. Funding can be sought in a variety of ways. It is most often done via formulas, such as reimbursing local governments for roads or local school districts for special education. The federal government also sets up competitive grants where non-profits ...
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