Criteria should be set by congress, payers, not ESRD community.
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Decision Making↗
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Results for “Payers”
Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.
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Monitoring payer reimbursement per CPT code.
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Current Procedural Terminology↗
2003 HEDIS data suggest growing quality gap between HMOs, other payers.
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Adolescent↗
ERISA's second wind: the U.S. Supreme Court's recent decision in Aetna v Davila is a victory for health plans, but payers, providers must still negotiate potential mine fields.
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Compensation and Redress↗
Payer gets vocal about plan changes.
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Artificial Intelligence↗
All's fair in healthcare? Heartland Spine & Specialty Hospital alleges HCA Midwest Division conspired with local payers to drive it out of business.
A Kansas specialty hospital is accusing HCA of pressuring managed-care companies to exclude rivals from networks and is suing the chain. "This is another mechanism by which (specialty hospitals) can get relief from the conduct of larger hospitals that are doing everything they can to put them out of business," says Norman Siegel, left, attorney for Heartland Spine & Specialty Hospital.
Antitrust Laws↗
Payers see the light on smoking cessation programs.
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Adult↗
Federal, state cuts hurting hospitals, private payers.
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Cost Control↗
Linking operating margin to payer contracting.
Hospital performance is driven by the revenue generated through paver contracts--and hospitals must demand the contracts they need in order to meet their margin.
Benchmarking↗
Building business intelligence applications for a strong payer-provider collaboration.
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Cooperative Behavior↗
To pay or not to pay? CEOs reject single-payer insurance system: survey.
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Attitude of Health Personnel↗
Payer contracts: do you know if you're being reimbursed appropriately?
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Aged↗
A conversation with Jayson Slotnik, MPH, JD. Trying to make biotech attractive to payers.
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Biotechnology↗
Financial outlook: more mergers, new payer partnerships.
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Cost Control↗
Pleasing payers not the priority.
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Health Care Reform↗
It pays to make friends with payers.
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Humans↗
Behind the FTC's lawsuit. Payers pointed finger at Evanston Northwestern.
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Antitrust Laws↗