Category: Government Regulations

CMS proposes Quality Payment Program rule for 2018 

The Centers for Medicare and Medicaid Services has proposed a new rule for its Quality Payment Program in an effort to simplify reporting requirements with updates for the second and future years of the program. In October 2016, CMS published

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Gov. Greg Abbott pushes back announcement on Texas special session | The Texas Tribune

Gov. Greg Abbott‘s announcement on whether he will call a special session is not expected to happen before next week. On Monday, Abbott said he would share his verdict “later this week.” On Friday, his office said he would not

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Blue Cross in Alabama says it won’t quit paying for some ER visits | AL.com

Starting in July, Blue Cross Blue Shield of Georgia will stop covering emergency room visits that the health insurance provider deems unnecessary. Don’t expect Alabama to follow suit, however. The Georgia Blue Cross policy is an effort to keep people

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Blue Cross Blue Shield Wants People in Georgia to Self-Diagnose Before Heading to the Emergency Room

BLUE CROSS BLUE SHIELD is quietly telling its individual market patients in Georgia that it will stop reimbursing some emergency room visits. The revelation comes from the Atlanta Journal-Constitution, which reports that Georgians are getting letters warning them that the insurer will no longer

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A big health insurer is planning to punish patients for ‘unnecessary’ ER visits

Anthem is the nation’s second-largest health insurer, with thousands of medical professionals on its payroll. Yet its Blue Cross and Blue Shield of Georgia subsidiary has just informed its members that if they show up at the emergency room with

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Amarillo’s Four Price pushes 10 health care bills through Legislature

State Rep. Four Price is pleased with how Texas’ 85th Legislative Session has gone in terms of health care for the state’s residents. Ten health care- related bills authored or sponsored by the Amarillo Republican have made their way to

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Texas Legislature Passes Balance Billing Mediation Expansion

The Texas Legislature has passed Senate Bill 507 by Senator Kelly Hancock (R-North Richland Hills) to give more Texans recourse when they receive unexpected medical bills. “No Texan looks forward to visiting a surgical center or emergency room,” said Senator

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 Texas Consumer & Business Groups Applaud Passage of SB 507 – Texas Insider

Texas Insider Report: AUSTIN, Texas– Texans for Affordable Healthcare coalition members today issued a series of statements after Senate Bill 507 by Senator Kelly Hancock and Representative John Frullo this week passed through both bodies of the Texas Legislature and

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The Brief: It’s the last day of the 85th Texas Legislative Session. Ready for a special session?

The 85th Texas Legislative session ends today — and lawmakers may be barreling towards a special session at a time when tensions have spiked between the House and Senate. During this regular session’s last weekend, each chamber blamed the other for

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This Blame Game Is Driving Up Health Insurance Costs – NBC News

WWASHINGTON — The Senate is taking baby steps toward a health care bill amid serious disagreement among lawmakers. But the health care industry waits for no one, and insurers are growing increasingly rattled by a combination of inaction in Congress

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