Category: Government Regulations

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

New law seeks to prevent surprise medical bills from freestanding ERs

Patients who visit freestanding emergency rooms in Texas should now have a better idea of whether their health insurance will cover the bill. A new state law that took effect Sept. 1 requires the facilities — which resemble urgent care clinics but

After single payer failed, Vermont embarks on a big health care experiment – The Washington Post

Doug Greenwood lifted his shirt to let his doctor probe his belly, scarred from past surgeries, for tender spots. Searing abdominal pain had landed Greenwood in the emergency room a few weeks earlier, and he’d come for a follow-up visit

In Ontario, Paramedics linking with ER docs could mean treatment at home

When Simcoe County Paramedic Services director Andrew Robert looks at your living room, he can see a virtual emergency room. And under the advice from the Sunnybrook Centre for Prehospital Medicine’s Dr. Paul Hoogeveen, the county’s head paramedic is asking

Is Anthem’s ER policy legal? Health executives want state insurance director to weigh in

A few health care industry executives have sent a letter to Missouri’s insurance director, asking her to take a “hard and earnest look” at Anthem’s emergency room policy and whether it is legal.This summer, Anthem began warning members that if

Medicaid expansion under Obamacare had little effect on ER visits

A new study at Johns Hopkins found that the expansion of Medicaid under the Affordable Care Act had little effect on the number of emergency room visits. Researchers at Johns Hopkins School of Medicine analyzed the ACA Medicaid expansion in 2014 in