Managed Care

 

Headlines On Deadline …

MANAGED CARE August 2010. © MediMedia USA
News and Commentary

Headlines On Deadline …

MANAGED CARE August 2010. ©MediMedia USA

More than a third of Americans who need to be screened for colon or breast cancer have not been screened, according to the latest report from the Centers for Disease Control and Prevention. But overall, more people are being screened than ever before. “We are encouraged by a significant increase in colon cancer screening rates over recent years,” says CDC director Thomas Frieden, MD.... In the UK, the new coalition government will eliminate a layer of financial managers and ask physicians to decide how the bulk of the National Health Service’s £105 billion annual budget should be spent.... The Centers for Medicare and Medicaid Services is proposing changing the way physicians are paid for treating patients with synthetic skin grafts. The change involves the 90-day global period of service — once a physician applies the first treatment, Medicare cannot be billed for subsequent treatments within a 90-day window. There are two treatments — Dermagraft and Apligraf. Dermagraft typically involves eight treatments during those 90 days. Apligraf has just a 10-day global period of service. Its treatment generally calls for five doctor visits over 12 weeks, so doctors are able to bill for each visit. Doctors who use Dermagraft get around the billing restriction by using a “modifier-58,” which tells CMS to ignore the 90-day billing window. CMS plans to reduce the global period of service for both skin substitutes to zero, allowing doctors to bill for each visit.

Meetings

Private Health Insurance Exchanges Conference Washington, D.C. October 7–8, 2014
National Healthcare Facility Management Summit Palm Beach, FL October 16–17, 2014
National Healthcare CFO Summit Las Vegas, NV October 19–21, 2014
National Healthcare CXO Summit Las Vegas, NV October 19–21, 2014
Innovative Member Engagement Operations For Health Plans Las Vegas, NV October 20–21, 2014
4th Partnering With ACOs Summit Los Angeles, CA October 27–28, 2014
2014 Annual HEDIS® and Star Ratings Symposium Nashville, TN November 3–4, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL November 12–14, 2014
Healthcare Chief Medical Officer Forum Alexandria, VA November 13–14, 2014
Home Care Leadership Summit Atlanta, GA November 17–18, 2014