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Managed Care/Payer Issues
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UnitedHealthcare Holds Provider Information Expo
UnitedHealthcare will host a Provider Information Expo, modeled after a town hall experience, on July 11, 2013, in Charlotte. The expo will feature stations on different topics such as ICD-10 […]
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BCBSNC Foundation Opens HVP Equipment and Training Cycle
The Blue Cross and Blue Shield of North Carolina (BCBSNC) Foundation recently announced the new Health of Vulnerable Populations (HVP) Equipment and Training Grant cycle is now open. The equipment […]
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In The News
Privatizing the Medicaid Expansion ‘Every State will be eying this’, 3-8-13, Washington Post Sarah Kliff reports that some states are turning heads with the idea to expand Medicaid using the […]
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Prescription for a healthier practice: Understand your contracts
For this month’s practice checkup, don’t let contracts with managed care organizations intimidate you—gain a better understanding of what they say. Start with “Obtaining, uploading and utilizing your contracted fee […]
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Obama Administration Releases Final Rule on Health Benefits
The Obama administration just released the final rule on essential health benefits, which sets out what benefits insurers must offer starting in 2014.
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NCMS Joins Hospitals and Radiologists in Filing Appeal against Decision in BCBS Dispute
NCMS, the NC Hospital Association and the North Carolina Chapter of the American College of Radiology have requested a judicial review of the Department of Insurance ruling in the dispute […]
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Gov. Perdue Announces State/Federal Partnership for Health Exchanges
Today Gov. Bev Perdue announced that the state and the Federal government will partner to establish North Carolina’s Health Insurance Exchange. For now, this means that the state will retain […]
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BCBSNC Pledges End to Most Favored Nation Clauses
Legislation that would ban the use of most-favored nation (MFN) clauses in managed care contracts saw some late action in the General Assembly’s 2012 Short Session. Despite strong support from the physician community, the bill ultimately did not pass.
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In the News This Week…
Feds notify hospitals of liability for wrongly implanted heart devices, 8-30-12, Modern Healthcare Writer Joe Carlson reports that the Justice Department is e-mailing hospitals across the country with instructions to […]
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AMA Resources Available to Support Passage of Medicare ‘Direct Contracting’
NCMS encourages members and their patients to let their representatives in Washington, D.C. know that they support the Medicare Patient Empowerment Act. This proposed legislation, introduced last year, would allow […]
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