CMS Tears ANOTHER Hole in the Emergency Care Safety Net

Patient Protections in the Affordable Care Act

In a just released document, the IRS, DoL, and DHHS (CMS) have proposed FINAL rules regarding patient protections in the Affordable Care Act that will, if enacted, further erode the financial viability of the emergency care safety net and in … Continue reading


Bill to Prohibit Balance Billing Introduced in Congress

Surprise !

A bill, H.R. 3770, has recently been introduced in the House of Congress by Representative Doggett, which he has titled the “End Surprise Billing Act of 2015”. The bill is primarily a notification and patient consent mandate for hospitals and … Continue reading

AHIP’s Flawed Report on Out of Network Charges

Twain on Data Analysis

The American Health Insurance Plans’ lobbyist organization, AHIP, just released another study, similar to a previous flawed report, decrying the high charges of out of network providers, which they claim are 3 to 15 times higher than Medicare payments. Remember the … Continue reading

When Hospitals Have One Foot in FFS and the Other in VBP

One foot in FFS, the other in VBP

Most hospitals these days have one foot firmly planted in Fee For Service (FFS) Reimbursement and the other foot in Value Based Payment (VBP); and though this somewhat schizophrenic business model complicates life for the C suite, it poses an … Continue reading

When Physician Candidates for President Pander to the Base

Pandering to the Anti-vaxxers

It’s one thing for Donald Trump to proclaim, at the second Republican debate, that there is clearly “a connection between vaccines and autism, telling an emotional story of an employee whose ‘beautiful’ baby fell ill with a fever after having … Continue reading