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  • How nursing homes game the Medicare ratings system Monday, 25 Aug 2014 | 7:41 AM ET

    Medicare’s five-year-old rating system to help families select nursing homes relies on unverified, incomplete and often misleading data. The NYT reports.

  • NEW YORK,- A Manhattan federal judge on Thursday said the U.S. Department of Justice may pursue most of its lawsuit accusing Novartis AG of civil fraud for allegedly using kickbacks to boost sales of drugs covered by Medicare and Medicaid.

  • NEW YORK, Aug 7- A Manhattan federal judge on Thursday said the U.S. Department of Justice may pursue most of its lawsuit accusing Novartis AG of civil fraud for allegedly using kickbacks to boost sales of drugs covered by Medicare and Medicaid.

  • In California, however, insurers' projections of 2014 medical spending were fairly accurate. Other companies planning to sell 2015 Obamacare policies in California include Kaiser Permanente, Health Net, and Molina Healthcare. California is the largest of about a dozen states to announce proposed 2015 rates.

  • In California, however, insurers' projections of 2014 medical spending were fairly accurate. California is the largest of about a dozen states to announce proposed 2015 rates.

  • WASHINGTON, July 31- U.S. consumers who purchase private health coverage through the federal Obamacare website HealthCare.gov are likely to find only modestly higher premiums but may still have technical problems signing up, a top health official said on Thursday.

  • U.S. hospitals get lift from surge in Medicaid sign-ups Thursday, 31 Jul 2014 | 12:40 PM ET

    CHICAGO, July 31- U.S. hospitals are getting a stronger-than-expected benefit from a new influx of low-income patients whose bills are paid by the government's Medicaid program, raising their profit forecasts as a result.

  • WASHINGTON, July 30- Ten months after the botched rollout of HealthCare.gov, Obamacare's federal health insurance exchange is still dogged by cost overruns and technology delays that could hamper enrollment when it resumes in November, a U.S. watchdog said.

  • WICHITA, Kan., May 29, 2014-- Pulse Systems, Inc., an industry-leading provider of Electronic Health Record, Practice Management and Revenue Cycle Management solutions, announced today that the Centers for Medicare and Medicaid Services has named Pulse's Physician Quality Reporting System a qualified registry for 2014. Pulse's PQRS Registry enables Eligible Professionals to seamlessly report specific quality measures through the Pulse Complete EHR or PulsePro Practice Management solutions to earn incentive payments from CMS.

  • WATERTOWN, Mass., May 28, 2014-- athenahealth, Inc., a leading provider of cloud-based services for electronic health record, practice management, and care coordination, today announced the 2014 PayerView ® Report, an annual report that leverages athenahealth's cloud-based data across its national network of health care providers to deliver unprecedented insight into the provider-payer relationship.

  • PHILADELPHIA, May 20, 2014-- Independence Blue Cross announced today that as of April 30, 2014, more than 165,000 individuals in southeastern Pennsylvania purchased the insurer's coverage through the Pennsylvania federal Marketplace or directly through the company during the first open enrollment under the Affordable Care Act. Of the more than 165,000 individuals enrolled in Independence's new health plans that meet the requirements of the ACA, 80 percent enrolled through the federal Marketplace, healthcare.gov.

  • Despite an estimated $8- $10 million negative revenue impact from severe weather and Medicare reimbursement cuts, Adjusted EBITDA increased 8.2%, from $25.6 million in the first quarter of 2013 to $27.7 in the first quarter of 2014 Implementation from the previously announced $30 million cost savings initiatives enhanced operating margins Same-center revenue from centers not impacted by the east coast extreme weather conditions increased 4.2% from last year's first quarter Procedural volumes are benefitting from the over 8 million enrollees in state and privately managed health insurance exchanges, including over 1.4 million enrollees in California Completed the refinancing of its junior debt capital during the quarter, yielding over $5 million of annual interest cost savings, increasing financial flexibility and extending maturities Ignoring the loss from debt extinguishment associated with the refinancing, RadNet narrowed its net loss by approximately $300 thousand as compared to the first quarter of 2013 Recognized approximately $1.8 million in Meaningful Use incentives from the implementation of its Information Technology solutions; RadNet expects to recognize up to an additional $6 million of these incentives over the next three years Updated 2014 guidance levels, increasing Adjusted EBITDA, lowering cash interest expense and increasing free cash flow levels.

  • Obamacare helped 10 million uninsured, says Gallup Wednesday, 16 Apr 2014 | 12:27 PM ET

    According to a Gallup poll, Obamacare helped 10 million Americans to get new health insurance, making the percentage of insured people plummet.

  • Census changes to mask true Obamacare effect Tuesday, 15 Apr 2014 | 3:38 PM ET

    The effects of Obamacare will be difficult to measure as the Census Bureau is changing its annual survey. NYT reports.

  • "But by strategically allocating the Medicaid funds and working with New York State, healthcare providers can create incentives and payment methodologies that will improve the way quality healthcare is delivered to some of our most vulnerable populations."

  • Doc who 'received' $12M from Medicare: Not so fast Friday, 11 Apr 2014 | 11:00 AM ET

    A massive dump of data about Medicare reimbursements to physicians raised eyebrows for the millions paid to some doctors, but the data aren't perfect.

  • The research shows prescription claims for Medicaid patients increased in January by 10 percent and in February by 14 percent over the same periods last year.

  • MINNEAPOLIS, MN, March 25, 2014-- VigiLanz, a digital healthcare technology company headquartered in Minneapolis, announced today that its real-time clinical surveillance and quality software-as-a-service platform is compliant and prepared for the changes in the Centers for Medicare and Medicaid Services ICD-9 coding, used to report medical diagnosis and inpatient procedures, to the new ICD-10 codes, which go into effect October 1, 2014. The new expanded coding has been designed to make the billing process more accurate, streamlined and efficient, and allow for greater specificity and exactness in describing a patient's diagnosis and in classifying inpatient procedures.

  • Gilead takes heat: Waxman ignites debate on drugs Friday, 21 Mar 2014 | 12:30 PM ET
    Rep. Henry Waxman in July 2013.

    Biotechs drop on reports Rep. Waxman has sent a letter to Gilead's CEO asking him to justify the price of Hepatitis C drug Sovaldi.

  • DANVERS, Mass., March 21, 2014-- Abiomed, Inc., a leading provider of breakthrough heart support technologies, today announced that the Centers for Medicare& Medicaid Services has released an updated version of ICD-10 MS-DRGs and maintained assignment to Diagnosis Related Groups 216-221 for the category of devices that includes Impella ® pumps.