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News You Need to Know Today
Healthcare Economics & Policy: Incoming Medicare cuts | Surprise medical bills | Stark law updates
Tuesday, December 15, 2020
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Editor's Choice: Economics

Top Stories

Medicare cuts expected to limit access for stroke and aneurysm patients, could cause some practices to close

Specialists also believe that private insurers will follow Medicare's example and reduce their own reimbursement rates.

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Medicare cuts expected to limit access for stroke and aneurysm patients, could cause some practices to close

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Specialists also believe that private insurers will follow Medicare's example and reduce their own reimbursement rates.
READ MORE >

Cardiologists, other healthcare providers speak out against ‘detrimental’ cuts included in MPFS final rule

A large coalition, including several cardiology groups, is asking Congress to pass legislation that would help protect healthcare providers from the final rule's "arbitrary" Medicare cuts. 

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Congress dome capitol Washington
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Cardiologists, other healthcare providers speak out against ‘detrimental’ cuts included in MPFS final rule

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Congress dome capitol Washington
A large coalition, including several cardiology groups, is asking Congress to pass legislation that would help protect healthcare providers from the final rule's "arbitrary" Medicare cuts. 
READ MORE >

68% of insured adults have received surprise medical bills—and many can’t afford to pay them

In addition, 49% of U.S. adults said the fear of unexpected bills keeps them from seeking care. 

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According to calculations comparing catheter ablation with drug therapy, the additional quality-adjusted life-years that can result from the treatment justify its increased costs. 
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68% of insured adults have received surprise medical bills—and many can’t afford to pay them

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According to calculations comparing catheter ablation with drug therapy, the additional quality-adjusted life-years that can result from the treatment justify its increased costs. 
In addition, 49% of U.S. adults said the fear of unexpected bills keeps them from seeking care. 
READ MORE >

CMS announces major Stark Law updates designed to help cardiologists, other providers work together

CMS has been considering such changes for years, hoping to reduce paperwork and encourage collaboration. 

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CMS announces major Stark Law updates designed to help cardiologists, other providers work together

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CMS has been considering such changes for years, hoping to reduce paperwork and encourage collaboration. 
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Cardiologist hired for executive vice president role at Walmart

Cheryl Pegus, MD, is a veteran cardiologist with prior experience at such companies as Aetna, Pfizer and Cambia Health Solutions.

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Cheryl Pergus AHA
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Cardiologist hired for executive vice president role at Walmart

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Cheryl Pergus AHA
Cheryl Pegus, MD, is a veteran cardiologist with prior experience at such companies as Aetna, Pfizer and Cambia Health Solutions.
READ MORE >

Patients settle with Indiana cardiology providers for $66.5M over malpractice claims

The settlement comes at the end of a lengthy legal battle that made national headlines.

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HCA Healthcare was recently hit with its second antitrust lawsuit — this time from the city of Brevard, North Carolina, for allegedly engaging in anti-competitive schemes.
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Patients settle with Indiana cardiology providers for $66.5M over malpractice claims

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HCA Healthcare was recently hit with its second antitrust lawsuit — this time from the city of Brevard, North Carolina, for allegedly engaging in anti-competitive schemes.
The settlement comes at the end of a lengthy legal battle that made national headlines.
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New technique for heart bypass surgery could limit patient discomfort, lower costs

The updated approach relies solely on CT imaging data and does not require a catheter. 

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New technique for heart bypass surgery could limit patient discomfort, lower costs

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The updated approach relies solely on CT imaging data and does not require a catheter. 
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Delaware cardiology practice to pay $500K to resolve fraud allegations

The alleged wrongdoings, reported by a whistleblower, occurred from April 2014 to March 2020.

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Delaware cardiology practice to pay $500K to resolve fraud allegations

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The alleged wrongdoings, reported by a whistleblower, occurred from April 2014 to March 2020.
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American College of Cardiology, American Heart Association update AFib performances measures

The Heart Rhythm Society also contributed to the guidance.

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American College of Cardiology, American Heart Association update AFib performances measures

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The Heart Rhythm Society also contributed to the guidance.
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