Hospital-physician alignment: What you need to know about     ACOs, medical foundations, and other new health care payment     and delivery models Many physicians across the state are being approached by hospital systems about joining new...

The deadline for physicians to enroll in the Centers for Medicare & Medicaid Services' online PECOS system is September 1, 2010. Although the enforcement date is not until January 3, 2011, physicians who are not already in PECOS (Provider Enrollment, Chain and Ownership...

  Palmetto has provided CMA with the following additional information on previously held June claims: ·         Palmetto began processing June claims with the 2.2% increase on Thursday, July...

    Palmetto GBA has received the revised fee schedule from CMS with the 2.2% increase for services from June 1 through November 30, 2010. They are testing their system with the new fee schedule, and should have everything pricing correctly by this Thursday,...

Misleading Blue Shield Physician Ratings Go Public on June 1 Blue Shield of California will be implementing its “Blue Ribbon” physician rating program on June 1. The program uses flawed performance ratings from the California Physician Performance Initiative...

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California physicians will soon be required to inform their patients that they are licensed by the Medical Board of California, and to provide patients with the board’s contact information. Despite CMA objections, the Office of Administrative Law recently approved...

WHAT CMA DID FOR PHYSICIANS IN HEALTH CARE REFORM     ·         CMA amendment requires health plans to direct 85% of revenues to direct patient...

THE PROS AND CONS OF HEALTH CARE REFORM Senate Health Reform (HR 3590): Patient Protection and Affordable Care Act Budget Reconciliation (HR 4872): Affordable Health Care for America (All provisions take effect in 2014, unless otherwise...