Sacramento Business Journal: Pressure mounts for Covered California health plans to add doctors

Kathy Robertson Rates are one big issue for consumers who shop through Covered California. The other is whether there are enough doctors to treat everybody who signed up. Last week, Covered California announced a lower-than-expected proposed averagerate increases of 4.2 percent for 2015 — a move heralded by insurance brokers, consumer advocates and others. Now … Continue reading

California Health Report: State Agency Running Medi-Cal Didn’t Know How Many Docs Took its Insurance

July 17, 2014   By Hannah Guzik The California agency that oversees the state’s low-income health plan vastly overstated the number of doctors who accepted patients through the state program last year, even as the number of people enrolled in the program was set to skyrocket under the federal Affordable Care Act, the California Health … Continue reading

California Health Report: Fewer Doctors Enrolled in Low-Income Insurance Program Despite Surge in Patients

By Hannah Guzik Nearly 25 percent fewer physicians were signed up to treat low-income patients in the state’s insurance program this spring compared to a year prior, despite the surge in patients enrolled in Medi-Cal. The drop in providers is due to the Department of Health Care Services’ efforts to remove doctors who haven’t complied … Continue reading

HHS: Historic release of data gives consumers unprecedented transparency on the medical services physicians provide and how much they are paid

FOR IMMEDIATE RELEASE April 9, 2014 Contact: HHS Press Office (202) 690-6343 Historic release of data gives consumers unprecedented transparency on the medical services physicians provide and how much they are paid Today, as part of the Obama administration’s work to make our health care system more transparent, affordable, and accountable, Health and Human Services … Continue reading

KFF: Paying a Visit to the Doctor: Current Financial Protections for Medicare Patients When Receiving Physician Services

Cristina Boccuti  With the recent decision to enact a 17th short-term “fix” to avert deep cuts in Medicare payments to physicians, Congress will likely return within the year to the question of whether and how to replace the widely-criticized formula that Medicare uses to calculate payments for physician services, called the Sustainable Growth Rate (SGR) system.1  … Continue reading

The Washington Post: Doctors react to release of Medicare billing records

Melissa Cannarozzi/TWP By Jason Millman and David S. Fallis,  Doctors reacted swiftly and indignantly to Wednesday’s release of government records revealing unprecedented details about Medicare payments to physicians. Many resented being included on a list that showed some doctors billing Medicare for millions of dollars. The top 10 doctors alone received a combined $121.4 million for Medicare Part … Continue reading

LA Times: Release of Medicare doctor payments shows some huge payouts

  A patient’s pill organizer. Ending decades of secrecy, Medicare is showing what the giant healthcare program for seniors pays individual doctors. (Carolyn Cole, Los Angeles Times / September 12, 2013) By Chad Terhune, Noam N. Levey and Doug Smith Ending decades of secrecy, Medicare is showing what the giant healthcare program for seniors pays individual doctors, and the figures reveal … Continue reading

NY Times: Medicare to Share Information on Pay for Physicians

By REED ABELSON Medicare said on Wednesday that it planned to make available to consumers and others detailed information on what it pays individual physicians as soon as next week, despite the long-term resistance by the American Medical Association and other groups. The information will include data on the $77 billion paid by Medicare in 2012 to … Continue reading

The Sacramento Bee: Congress confronts Medicare cuts to doctors’ fees

By ANDREW TAYLOR WASHINGTON — Hope is fading for a Capitol Hill drive to permanently fix Medicare’s outdated payment formula and spare doctors from automatic cuts in their fees next month. Now the question is whether lawmakers can regroup and come up with a short-term solution when the current patch expires. Even though there’s widespread support for … Continue reading

California Healthline: CMS To Begin To Release Medicare Physician Payment Data

On Tuesday, HHS published a notice in the Federal Register that CMS will begin to respond to Freedom of Information Act requests for Medicare physician payment data, Modern Healthcare reports (Carlson, Modern Healthcare, 1/14). Background In May 2013, a federal judge lifted a 33-year-old injunction that barred the government from giving the public access to a confidential database of Medicare insurance claims. … Continue reading

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