Focus On: Health Insurance Reform: New Rules on Essential Benefits, Consumer Protections

The U.S. Department of Health and Human Services (HHS) has finalized major new rules for individual and small-group plans governing the services they must cover and the protections that must be … [Read more...]

CMS to Deny Claims That Fail Ordering, Referring Provider Edits

Clinical laboratories, pathologists, and a host of other Medicare providers will be affected when as of May 1 the Centers for Medicare and Medicaid Services (CMS) fully implements its edits of claims … [Read more...]

Congress Takes a Short Breather From Budget Battles

Before Congress left town for a two-week spring break, which ends April 8, lawmakers approved several budget matters. They passed a continuing resolution to avert a government shutdown at the end of … [Read more...]

Focus On: Medicare Physician Pay: 2014 Forecast: Slight Dip in Medicare Physician Pay Cut; House Committees Work on New Reimbursement Scheme

Physician payments under the Part B Medicare fee schedule are due for a 24.4 percent reduction under the sustainable growth rate (SGR) formula starting Jan. 1, 2014, according to a preliminary … [Read more...]

Combining Medicare, Medigap Coverage Could Save $180 Billion Over 10 Years

Combining hospital, physician, prescription drug, and Medigap coverage into a “Medicare Essential” plan could save $180 billion in health spending over the next 10 years while also improving care, … [Read more...]

Focus On: Workplace Wellness: New Workplace Wellness Regulations Released; Too Soon to Tell If Labs Will Benefit

The U.S. Department of Health and Human Services (HHS), Internal Revenue Service, and Employee Benefits Security Administration have released final rules regarding workplace wellness incentive … [Read more...]

Upcoming G2 Events

Webinar (2 p.m.-3:30 p.m. Eastern) July 11 Health Care Reform and the Lab: 3 Keys to Survival in 2014 www.G2Intelligence.com/3Keys Conferences Oct. 16-18 It’s Make or Break Time: A Path Forward For … [Read more...]

Labs Fight Back Over Proposed Medicare Cuts

After seeing Medicare payment for lab services cut by more than 11 percent since 2010, clinical laboratories are bristling over recommendations from the Health and Human Services Office of Inspector … [Read more...]

Hospital Outpatient Prices Higher Than in Community Settings

Prices for services in a hospital outpatient department (HOPD) can be much higher than prices in a physician’s office or other community-based setting, according to a June 26 study from the National … [Read more...]


(-0000g2)