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Managed Care/Payer Issues
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NCMS Hosts Legislative Summit to Discuss Top Issues
More than 60 health care stakeholders gathered at the NCMS Center for Leadership in Medicine in downtown Raleigh on Saturday, March 22, to discuss key issues for the medical community, which are sure to play out in the upcoming short session of the North Carolina General Assembly.
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Aetna Terminates $120 Million Class Settlement On Underpaid Claims
Late last year, Aetna, Inc. announced a proposed class settlement of up to $120 million over its use of the flawed Ingenix database. The nationwide settlement would have required Aetna […]
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CMS: Preferred Payment Choice Is Electronic Funds Transfer
Thanks to on-going efforts by the North Carolina Medical Society (NCMS) and the AMA, the Centers for Medicare and Medicaid Services (CMS) recently clarified that the preferred method for receiving […]
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There’s a First Time for Everything – Payers Join Together For Expo
Blue Cross Blue Shield of North Carolina, Humana, MedCost and United Healthcare have come together to offer a free multi-payer expo for providers for the first time. The event will […]
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BCBSNC Offers Tips to Save Time and Avoid Frustration
Blue Cross and Blue Shield of North Carolina (BCBSNC) has recently experienced higher call volumes than usual due to members calling with questions about the Affordable Care Act health insurance […]
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In the News
10 States Are Critical to Administration’s Efforts to Enroll 6 Million in New Health Plans, Kaiser Health News, 3/19/14 Phil Galewitz writes that North Carolina is one of the 10 […]
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Another Modest Rise for Health Costs, The New York Times, 1/6/14 National health spending grew slowly for the fourth consecutive year, increasing 3.7 percent in 2012 to $2.8 trillion, the […]
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The NCMS is fighting to end unfair policies that require doctors to accept credit card payments from insurers.
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Upon review of Governor McCrory’s Medicaid reform proposal released on February 26, CEO and Executive Vice President of the North Carolina Medical Society Robert W. Seligson, MA, MBA, released the […]
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Aetna’s Cuts to Pathology Services Averted in North Carolina
After the NCMS and the North Carolina Society of Pathologists brought attention to a proposed fee schedule revision by Aetna for national labs, the insurance company decided not to implement the drastic cuts in North Carolina as planned.
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