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ANESTHESIA 2022 is only a few days away and we're looking forward to seeing you in New Orleans! Stop by Booth #3429 to visit with our team and learn how you can optimize your Anesthesia Physician Services!

We're excited to announce that DuvaSawko, abeo, and Gottlieb have joined together to become Ventra Health. Read the full announcement: https://zcu.io/0fcS

According to Modern Healthcare, Anthem “was paid more for providing benefits to sicker enrollees that are associated with needing more resources than healthier enrollees.” See how the giant was miscoding Advantage claims: https://zcu.io/xdE9

CMS overpaid Anthem $3.4M in Medicare Advantage, OIG says HHS' Office of Inspector General found CMS overpaid Anthem for Medicare Advantage enrollees who were risk adjusted to appear more ill than their medical records revealed.

“CMS has been auditing hospitals’ websites and complaint submissions since the rule went into effect on January 1.” Price transparency legislation has been in effect for almost six months now, but many hospitals are still not compliant. Fierce Healthcare shares how CMS is handling these compliance issues: https://zcu.io/yqFL

CMS sent out warnings to hospitals failing at price transparency. Some still aren't sure where they land The agency said it has been proactively auditing hospitals since the rule went into effect on Jan. 1. With implementations varying from hospital to hospital, one executive describes his health system's costly efforts to comply and urges CMS to better clarify the "convoluted" and "poorly written" rul...

test prices span a wide range and vary greatly from testing site to testing site. Kaiser Health News explores how are turning a major profit by charging companies high prices for COVID-19 tests: https://zcu.io/sdhE

Covid Testing Has Turned Into a Financial Windfall for Hospitals and Other Providers Because there are no caps on cost, consumers and insurers often get billed hundreds of dollars for the most reliable PCR covid test. Prices are rising and they can’t fight back.

As more Americans get the vaccine, providers need to manage admin fees for any care gaps not covered by insurance. Healthcare Finance News explains HHS’ new program addressing just that: https://zcu.io/mW0n

HHS launches new vaccine reimbursement program for providers This is to cover administration fees for the gap in costs not paid by insurers.

Low reimbursement rates have caused anesthesiologists to leave Michigan at an alarming rate, forcing hospitals to shut down operating rooms. More in Becker's Hospital Review: https://zcu.io/kxTC

Physician viewpoint: Low reimbursement is causing an anesthesiologist shortage in Michigan Minimal reimbursement rates are forcing anesthesiologists to leave Michigan at an alarming pace, according to Rick Ganzi, MD, an anesthesiologist in Holland, Mich.

We're excited to announce that DuvaSawko|abeo has merged with Gottlieb. As leaders, we are continuing to expand our reach and the enterprise’s position in offering customers superior revenue cycle, practice management services and robust technology capabilities. Read the full announcement: https://zcu.io/c3hz

There has long been tension between payers and providers, but this latest clash is over reimbursement as Congress determines how to best expend telehealth access after the . Learn more in Modern Healthcare: https://zcu.io/MWvT

Payers, providers clash over telehealth reimbursement as Congress mulls changes As members of Congress decide how to expand access to telehealth after the pandemic, one of the biggest questions has centered around how much Medicare providers should be paid for virtual care.

While it’s no secret that costs can vary between and between payer types at the same hospital, the Health Care Cost Institute recently found that C-section prices ranged from $7,634 to $70,553 in one hospital group. Modern Healthcare has more on these findings: https://zcu.io/9t8y

Hospital prices for the same procedures vary by up to 8 times At Sutter Health's Novato Community Hospital, commercial prices ranged more than five-fold for an upper gastrointestinal biopsy.

A major group is suing UnitedHealthcare, alleging that the company is forcing doctors out of its network and pressuring to stop referring patients to them. Learn more about how the insurance giant is impacting the provider space in The New York Times: https://zcu.io/rHmW

Doctors Accuse UnitedHealthcare of Stifling Competition A multistate group of anesthesiologists filed cases in Texas and Colorado, accusing the insurance giant of squeezing them like a “boa constrictor.”

The federal rule went into effect January 1, but most are still not . While hospitals have been under strain from the , non-compliance is running rampant. Read more in MedCity News: https://zcu.io/pxEq

Analysis: Most hospitals not complying with price transparency rule The federal price transparency rule for hospitals went into effect Jan. 1, but a new analysis shows that a majority of providers studied were "unambiguously noncompliant."