A Healthcare Roundtable Series Event
Chronic Disease Management
A constant drain on our nation’s physical and financial health, properly managing persistent ailments presents both a challenge and an opportunity. Along with end-of-life care, it’s a key driver of healthcare inflation. Taming it is paramount and one of the core goals of the Affordable Care Act. The AMA recently defined obesity as a disease. Meanwhile, CMS is considering paying primary-care physicians for complex chronic care management services of Medicare patients without an in-person patient visit. ACO's and Medical Homes are becoming reality as each day passes. So reimbursements models are obviously evolving to meet the needs of the population and providers who welcome and prepare for this change stand to profit. Those who don't get ready stand to lose as at-risk contracting becomes ubiquitous.
How can your practice benefit from this paradigm shift in health services delivery?
Tues., Oct 8 | 7:30-9:30 am
Imperial Club, Aventura
Bimal Shah, CLU, ChFC, CASL
President, Rajparth Advisory Group
Click HERE to view the video.
Follow this link to register:
Thursday, July 11, 2013
Fifty-five hospitals located throughout twenty-one states have agreed to pay the United States a total of more than $34 million to settle allegations that the health care facilities submitted false claims to Medicare for kyphoplasty procedures, the Justice Department announced July 2. Kyphoplasty is a minimally-invasive procedure used to treat certain spinal fractures that often are due to osteoporosis.
In many cases, kyphoplasty can be performed safely and effectively as an outpatient procedure without any need for a more costly hospital admission. The settlements announced today resolve allegations that the settling hospitals frequently billed Medicare for kyphoplasty procedures on a more costly inpatient basis, rather than an outpatient basis, in order to increase their Medicare billings.
The following Florida hospitals were involved in the settlement:
- Mount Sinai Medical Center, Miami Beach has agreed to pay $1,846,194.00.
- Twenty-three hospitals affiliated with HCA Inc., Nashville, TN, have agreed to pay a total of $7,145,842.72. These include: Aventura Hospital & Medical Center (Aventura); Capital Regional Medical Center (Tallahassee); Doctors Hospital of Sarasota (Sarasota,); Fawcett Memorial Hospital (Port Charlotte); Fort Walton Beach Medical Center (Fort Walton Beach); JFK Medical Center (Atlantis); North Florida Regional Medical Center (Gainesville); Southwest Florida Regional Medical Center (Fort Myers); St. Lucie Medical Center (Port Saint Lucie).
- Four hospitals affiliated with Morton Plant Mease BayCare Health System, Clearwater, have agreed to pay a total of $2,378,325.45. These include: Morton Plant Hospital (Clearwater); Morton Plant North Bay Hospital (New Port Richey); Mease Dunedin Hospital (Dunedin); and Mease Countryside Hospital (Safety Harbor).
The claims resolved by these settlements are allegations only, and there has been no determination of liability.