Remove 2019 Remove Billing Remove Patient Care
article thumbnail

UnitedHealth Group under DOJ investigation over Medicare billing practices

Medical Economics

Reynolds Key Takeaways UnitedHealth is cooperating with DOJ investigations into its Medicare Advantage billing practices, focusing on diagnoses that increased federal payments. Department of Justice (DOJ) into its Medicare billing practices. The master found no evidence supporting claims of wrongdoing.

Billing 71
article thumbnail

Are your patients satisfied?

Physicians Practice

Dr. Baum has published a book, The Business Basics of Building and Managing a Healthcare Practice, (Springer 2019), which emphasizes the importance of being involved in the business of a medical practice. Recent Videos Related Content 9 design tweaks to refresh your practice Keith A.

Billing 52
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Low-income patients face uphill battle when fighting health insurance denials, Umass research finds

Medical Economics

adults with private health insurance between 2017 and 2019. The researchers found no association between a patient’s level of education and either the likelihood of contesting a denial or the success rate of those challenges.

article thumbnail

Value-based care could mean better access for Traditional Medicare patients, study finds

Medical Economics

SHOW MORE Physicians in supported, full-risk VBC models saw more new Traditional Medicare patients and kept panels open longer. Price, M.D. 67: Immigration policy and the physician shortage with Thomas E. Price, M.D.

article thumbnail

Battling burnout in health care: Slight improvements, still many worries

Medical Economics

Physician burnout is improving, inching down slowly, but still not back to a 2019 level that was deemed dangerously high even before the COVID-19 pandemic. Stefanie Simmons, MD, FACEP, chief medical officer of the Dr. Lorna Breen Heroes’ Foundation , discusses trends in burnout and suicide for physicians and other medical specialties.

article thumbnail

Managed Care History Part III: The Rise of Machine-Driven Managed Care

The Healthcare Blog

In real care situations, however, patients found it difficult or impossible to determine exactly what their share of the cost would be or which providers did the best job of taking care of them. Some 60% of hospital bad debts are now from patients with insurance.

article thumbnail

Medicare Physician Fee Schedule for 2026 targets physician pay, prevention and wellness, skin substitutes

Medical Economics

Mehmet Oz, MD, MBA © Centers for Medicare & Medicaid Services “We are taking meaningful steps to modernize Medicare , cut waste, and improve patient care,” Oz said in the announcement. 72: Medicare reform with Susan Dentzer of America's Physician Groups July 9th 2025 KFF analysts: Big Beautiful Bill is biggest change to U.S.