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Regulatory News
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Bowtie Briefing for February 19, 2016 – NC HIEA Update
NCMS Director of Legislative Relations, Chip Baggett, provides an update on the transition to the new NC Health Information Exchange Authority (NC HIEA).
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Physician Groups Continue to Press DOJ to Reject Insurance Mergers
The Physicians Advocacy Institute (PAI) continues to press the US Department of Justice (DOJ) to reject the proposed mergers of insurance giants Cigna with Anthem and Humana with Aetna. In […]
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Medicaid Physician Drug Program Reimbursement — Is It An Issue for Your Practice?
Due to a rate freeze in Medicaid’s Physician Drug Program that occurred in 2010, a growing number of physician-administered drugs and devices are reimbursed at rates below cost. NCMS staff […]
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Monday is Deadline to Submit PQRS Review Request
Monday, Nov. 23, is the deadline for eligible providers, comprehensive primary care practice sites and groups participating in the Physician Quality Reporting System (PQRS) that believe they have been incorrectly […]
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Update: Health Insurance Mergers
The North Carolina Medical Society (NCMS) along with our national partners, The Physicians Foundation, PAI and the American Medical Association (AMA) are closely monitoring and speaking out on the proposed […]
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Enrollment is Open – Helping Patients Get Insurance on the Health Care Exchange
Open enrollment for individual insurance policies under the Affordable Care Act (ACA) began Sunday, Nov. 1 for people who want to continue or start health coverage on Jan. 1, 2016. […]
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CMS Extends Deadline for Physician Quality Reporting System (PQRS) Informal Review Process
The Centers for Medicare and Medicaid Services (CMS) is extending the 2014 Informal Review period until Nov. 23, 2015 for those individuals and practices requesting a review of their value […]
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NCMS Closely Monitoring Proposed Health Insurance Mergers
The proposed mergers between health insurance giants Aetna and Humana and Anthem and Cigna have been much in the news lately as company representatives have appeared before the House Judiciary […]
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AMA Resources Help to Understand New Payment Model in Commercial Payer Contracts
Commercial payers are increasingly pursuing contracts with physicians based on new payment models, such as pay-for-performance and bundled or episode-based payment. These alternative payment models can rely on both cost […]
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AMA Study: Health Insurance Mergers Would Diminish Competition in Many States
From AMA reports The combined impact of proposed mergers among four of the nation’s largest health insurance companies would exceed federal antitrust guidelines designed to preserve competition in as many […]
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