Blue Shield of California is being sued for allegedly issuing a wrongful blanket denial of all requests for coverage with the Coflex titanium implant to treat lumbar spinal stenosis....
Continue readingSurgical Cost Containment for Hospitals and ASCs
Learn how Maria Todd can help with surgical cost containment for hospitals ASCs so you can maintain margin integrity under bundled price reimbursement....
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High-Value Health Care: The Intersection of Quality, Affordability and Outcomes for Employers
Employers are uniquely positioned to positively influence the quality and cost of health care through direct-with-employer contracting. But they aren't sure whom to call and how to proceed. Neither are the providers......
Continue readingProblematic Arrangements Between U.S. Hospitals and Their Staff Physicians
By MARIA TODD Sublease Agreements: Hospitals cannot enter into sublease arrangements with physicians in order to host town hall meetings with Medicare, Medicaid, or otherwise insured beneficiaries in the physicians’ offices. The rental value for these arrangements must be at fair market value and cannot take into consideration the potential volume or value of...
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