Latest Event Updates

Former Anthem fraud investigator, physician charged in $20 million billing scheme

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Investigator allegedly helped provide patient information, billing codes for use in billing submissions and helped conceal the scheme from other investigators, DOJ says.

from Healthcarecare Finance News Feed http://www.healthcarefinancenews.com/news/former-anthem-fraud-investigator-physician-charged-20-million-billing-scheme

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Reduced healthcare costs, opioid use result from early physical therapy intervention for low back pain

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Those who saw a physical therapist early had a 28 percent lower probability of having any advanced imaging services.

from Healthcarecare Finance News Feed http://www.healthcarefinancenews.com/news/reduced-healthcare-costs-opioid-use-result-early-physical-therapy-intervention-low-back-pain

Hospitals are losing millions thanks to cost variations in joint replacement services, Premier says

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Hospitals that kept costs the lowest used data to get a full picture of options, did benchmark pricing against peers, and got buy-in from surgical staff on the effort.

from Healthcarecare Finance News Feed http://www.healthcarefinancenews.com/news/hospitals-are-losing-millions-thanks-cost-variations-joint-replacement-services-premier-says

Insurers need to aim higher in targeting individuals for Medicare coverage

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Plans may be losing out on millions in missing the 20- to 40-percent of buyers who are not ready to sign up for Medicare at age 65.

from Healthcarecare Finance News Feed http://www.healthcarefinancenews.com/news/insurers-need-aim-higher-targeting-individuals-medicare-coverage

Healthcare mergers and acquisitions create 3 V’s for data management

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When practices merge, duplication and miscommunication can be unhappy side effects that have negative consequences for both finances and clinical quality. Here are missteps to avoid.

from Healthcarecare Finance News Feed http://www.healthcarefinancenews.com/news/healthcare-mergers-and-acquisitions-create-3-vs-data-management

Anthem buys palliative care provider Aspire Health

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The deal signals another move by an insurer to get into the provider business for more integrated care to lower costs.

from Healthcarecare Finance News Feed http://www.healthcarefinancenews.com/news/anthem-buys-palliative-care-provider-aspire-health

Roundup: Hospital expansions, renovations slated for Tennessee, Arizona and Wisconsin

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TriStar Health will be investing $500 million in construction projects due largely to growth in the Nashville area; systems in other states set to expand.

from Healthcarecare Finance News Feed http://www.healthcarefinancenews.com/news/roundup-hospital-expansions-renovations-slated-tennessee-arizona-and-wisconsin