Category: Government Regulations

BCBS Controversial ER Claims Process Begins – Houston

The largest health insurer in Texas changed an ER claims review process Monday. Blue Cross Blue Shield of Texas said its 500,000 HMO members may have to pay the entire cost of an out-of-network emergency room bill, if they go for

Doctors prepare for medical issues surrounding legal pot

It’s a question that bore examining. What might happen when the recreational use of marijuana for adults over the age of 21 suddenly became legal on July 1? Would hospitals see an uptick in emergency room visits, as people could

Has marijuana caused emergency room visits to skyrocket? | PunditFact

Advocates against marijuana legalization frequently cite increased marijuana-related hospitalizations as proof the drug should not be sold commercially. But how much of a threat does cannabis actually present? Since retiring from Congress in 2010, Patrick J. Kennedy has been speaking

New bill could help Austin patients avoid surprise medical bills after visiting freestanding ERs

Over $800 in out-of-pocket expenses was not what area resident Lance Kubiak expected to pay after visiting a freestanding emergency department, or FSED, late one night last year. Kubiak, who has employer-provided health insurance, visited the FSED after experiencing an

House passes comprehensive bill to combat growing opioid epidemic – ABC News

The House of Representatives passed a bipartisan, comprehensive bill Friday that aims at curbing the country’s growing opioid epidemic. By a vote of 396-14, the House passed H.R. 6, the SUPPORT for Patients Communities Act, which is the collective product

Blue Cross Blue Shield of Texas Delays Controversial Change After Backlash

The largest health insurer in Texas was set to change a review process on Monday. But it has been delayed until August 6th, after getting backlash from physicians in Texas. If the new process is launched, Blue Cross Blue Shield of

Emergency rooms to see impact is Blue Cross Blue Shield passed; -Amarillo

A rule that could effect how Blue Cross Blue Shield of Texas customers are treated during a health emergency has been postponed for at least 60 days. Local urgent care centers will not be effected if the new rule were

Medicare Payment Cuts Advised For Many ERs That Aren’t Inside Hospitals

The woman arrived at the emergency department gasping for air, her severe emphysema causing such shortness of breath that the physician who examined her immediately put her on a ventilator to help her breathe. The patient lived across the street

CMS shakes up telemedicine, will pay for more services – MedCity News

On Thursday, the Centers for Medicare and Medicaid Services released a final rule for the 2018 Medicare Physician Fee Schedule. The lengthy (as in 1,653-page) document outlines numerous changes. For one, it increases physician payment rates by 0.41 percent for 2018 compared to this year. But a less frequently

Rural hospitals are relying on simplified EHR systems to stay afloat

That rural hospitals are struggling isn’t exactly a secret. More than 80 rural facilities have closed since 2010, and recent research from iVantage Health Analytics found that 41 percent of them are operating at a negative margin. Some of these