Reimbursement
To avoid over-burdening physicians, providers must align non-competing interests and minimize the administrative burden of multiple payment models, authors say.
Only 8 percent describe themselves as "deeply knowledgeable" about the program and its requirements, the survey said.
The American Diabetes Association does not recommend the treatment and Medicare's review of the therapy for diabetic wounds owes more to hospitals' pursuit of revenue than to the treatment's proven value.
Recovery effort came with a price tag of roughly $118 per claim, or as much as $8.6 billion in appeals-related administrative costs, Change Healthcare said.
Medicaid pays for about two-thirds of 1.4 million elderly in nursing homes; it covers 20 percent of Americans, 40 percent of elderly poor adults.
Never be too far ahead or too far behind when it comes to participation in value-based payment models, expert says.
State officials are hoping to win a 21-month extension of an agreement that began in 2011 and will expire in December.
Health law experts caution coverage gap fix for these very low earners would likely be largely undercut by two other changes in the bill.
Defendants sometimes billed 15 to 30 identical ultrasound guidance claims for a single patient visit, the Department of Justice said.
About a fourth of respondents said the bill made "minor reductions" to Medicaid, and 13 percent didn't realize there were any proposed cuts.