Tag: Reimbursement

P4P: Building a culture of quality and bringing costs of care down

Pay-for-performance—it's a term you'll hear more about. Medicare officials think pay-for-performance (P4P) could encourage hospitals to improve quality while bringing costs down—a priority given that the hospital trust fund is projected to run out of money in 11 years. Congress has asked Medicare to come up with a plan that…

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By: Pat Patterson
June 1, 2008
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Aetna to stop covering MAC for GI endoscopy cases

Aetna informed physicians in December that it will no longer pay for monitored anesthesia care (MAC) for routine GI endoscopy as of April 1. Aetna joins others, including WellPoint, Inc, the nation's largest health insurer, that no longer cover anesthesia monitoring for these procedures. MAC can add $300 to $1,500…

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By: OR Manager
February 1, 2008
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