NASHP

NOVEMBER 9, 2022

This model legislation limits out-of-network rates for inpatient and outpatient hospital services to the lesser of (a) the state’s median in-network commercial rate for the same service; or (b) [X]% of the Medicare rate for the same service in the same geographic area. X]% of the amount paid by Medicare for the same item or service; or.

Regulations 52

Regulations Medicare Tricare Hospitals 52

Vie Healthcare

MAY 4, 2023

And as you know, obviously a huge percentage of healthcare spending is funded through Medicare, Medicaid, Tricare, the VA system, and these are all programs that are covered by the False Claims Act. It’s a highly regulated industry. So there’s that instinctual resistance to it. That you have to deal with compliance.

Healthcare 52

Healthcare Nursing Hospitals Doctors 52

KHN

NOVEMBER 14, 2022

Federal regulators, meanwhile, are almost blind to the incursion, since private equity typically acquires practices and hospitals below the regulatory radar. Some injured patients are turning to the courts in hopes of holding the firms accountable for what the patients view as lapses in care or policies that favor profits over patients.

Doctors 145

Doctors Tricare Medicaid Medical Services 145

KHN

NOVEMBER 14, 2022

Federal regulators, meanwhile, are almost blind to the incursion, since private equity typically acquires practices and hospitals below the regulatory radar. Some injured patients are turning to the courts in hopes of holding the firms accountable for what the patients view as lapses in care or policies that favor profits over patients.

Doctors 52

Doctors Tricare Medicaid Medical Services 52