Ask Assemblymembers to Oppose AB 3087 On Wednesday, May 16, the Assembly Appropriations Committee will be considering AB 3087 (Kalra), which would create a commission of unelected political appointees empowered to arbitrarily cap rates for all health care services in all clinics, hospitals, and physician practices in California. May 15, 2018 General Reimbursement Read More »
Health Net Delays Modifier 25 Change Health Net is delaying its proposed reduction in modifier 25 and emergency services payments for its Medicare and Medi-Cal lines of business until July 1, 2018. May 7, 2018 General and, Billing, Coding Read More »
Aetna to Terminate Physician Payments by Check Aetna informed contracted physicians on February 1 that the option of receiving payment by check will no longer be available and is asking providers to choose either electric funds transfer (EFT) or virtual credit card (VCC). May 7, 2018 General Contracting Read More »
Take Action Against the Physician Price Fixing Bill AB 3087, a harmful government intrusion into the health care market, was passed by the California Assembly Health Committee on April 24 and is now before the Appropriations Committee. May 7, 2018 Advocacy, Legislation Legislation Read More »
CMA Opposition to Ballot Measure to Set Dialysis Rates The California Medical Association (CMA) is opposing a ballot initiative to limit what insurance companies can reimburse dialysis centers to provide patient treatments. May 7, 2018 Legislation Legislation Read More »
Health Net Delays Modifier 25 Change Health Net is delaying its proposed reduction in modifier 25 and emergency services payments for its Medicare and Medi-Cal lines of business until July 1, 2018. May 7, 2018 General Care, Managed Read More »
Aetna to Terminate Physician Payments by Check Aetna informed contracted physicians on February 1 that the option of receiving payment by check will no longer be available and is asking providers to choose either electric funds transfer (EFT) or virtual credit card (VCC). May 7, 2018 General Care, Managed Read More »
Prior Authorizations Negatively Affect Patient Outcomes A recent American Medical Association (AMA) survey of 1,000 practicing physicians found that payers' prior authorization requirements delay treatment, have a negative impact on clinical outcomes, and lead patients to abandon treatment. May 7, 2018 General Care, Managed Read More »
Rating QPP Performance Measures A recent study published in theNew England Journal of Medicinefound that about one-third of the MIPS/QPP performance measures for ambulatory general internal medicine used by the Centers for Medicare and Medicaid Services (CMS) were not valid for evaluating the benefits and harms of a medical intervention. May 7, 2018 General Medicare Read More »
Rating QPP Performance Measures A recent study published in theNew England Journal of Medicinefound that about one-third of the MIPS/QPP performance measures for ambulatory general internal medicine used by the Centers for Medicare and Medicaid Services (CMS) were not valid for evaluating the benefits and harms of a medical intervention. May 7, 2018 General Measurement, Quality Read More »