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March 19, 2013

Health Insurance Exchange Products

As we move closer to the rollout of the health insurance exchanges, health insurance carriers are beginning to prepare their product offerings to offer either within the health insurance exchange or as a competitive product to the health insurance exchange…

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March 6, 2013

SHP can help with your ACO!

SHP is excited to announce that we now provide both consultation and management services for primary care providers who are interested in forming an  ACO (Accountable Care Organization). Based on the continuing market transition under healthcare reform, SHP strongly believes…

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February 12, 2013

Lawmakers offer dueling approaches on fixing doc pay

Dueling legislative approaches to overhaul the Medicare physician payment  formula emerged this week. The new movement on the stubborn problem comes  as the Congressional Budget Office revised the 10-year cost of fixing it down by  more than 40%, to $138…

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February 11, 2013

Increased Medicaid PCP Payments for 2013 and 2014

A component of the healthcare reform legislation mandated that primary care physicians would receive an increase in reimbursement for Medicaid primary care services rendered in 2013 and 2014. For primary care physicians, these services will increase to the Medicare rates…

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January 23, 2013

AHA calls for CMS to fix its own glitch

Health information technology promoter, heal thyself, the American Hospital Association is telling the CMS concerning a claims processing flaw that the AHA says is preventing some physicians working with critical-access hospitals from receiving electronic health-record incentive payments under the American…

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October 1, 2012

Proposed Medicare Fee Schedule 2013

Proposed Medicare Fee Schedule for 2013 CMS has published their proposed Medicare Physician Fee Schedule (MPFS) for 2013 and the final schedule will be posted in November 2012. The proposed fee schedule is 765 pages; therefore, please see below for…

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July 18, 2012

EHR Meaningful Use Incentives

In 2011, CMS introduced financial incentives for eligible professionals (EPs) who became meaningful users of electronic health records (EHRs). EPs who meet the Stage 1 meaningful use requirements in either 2011 or 2012 remain eligible to earn the maximum financial…

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November 28, 2011

UHC Purchasing Care Improvement Plus (CIP)

Care Improvement Plus (CIP) Medicare Advantage Plan, along with its parent organization, XLHealth, will be purchased by UnitedHealthcare (UHC) in mid 2012. CIP has announced that there will be no changes to its Medicare plans in 2012 and that they…

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