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NASHP Model Act to Limit Out-of-Network Provider Rates

NASHP

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. NASHP Model Act to Limit Out-of-Network Provider Rates. 1) Definitions.

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Exposing Healthcare Fraud with Jonathan Tycko| E. 68

Vie Healthcare

He also urges hospitals to focus on mission over money and explains why compliance isn’t the enemy of healthcare. 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.

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Sick Profit: Investigating Private Equity’s Stealthy Takeover of Health Care Across Cities and Specialties

KHN

Private equity-backed groups have even set up special “obstetric emergency departments” at some hospitals, which can charge expectant mothers hundreds of dollars extra for routine perinatal care. White had Optetrak implants inserted into both her knees at a Galesburg, Illinois, hospital in June 2012.

Doctors 145
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Sick Profit: Investigating Private Equity’s Stealthy Takeover of Health Care Across Cities and Specialties

KHN

Private equity-backed groups have even set up special “obstetric emergency departments” at some hospitals, which can charge expectant mothers hundreds of dollars extra for routine perinatal care. White had Optetrak implants inserted into both her knees at a Galesburg, Illinois, hospital in June 2012.

Doctors 52