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Aetna has named MidMichigan Medical Center in Midland, an Aetna Institute of Quality Orthopedic Care Facility in the areas of spine surgery and joint replacement, according to a mLIVE report.
Published in
Spine
May 06, 2013
MidMichigan Medical Center-Midland Receives Aetna Institute of Quality Orthopedic Care Facility Designation
MidMichigan Medical Center-Midland announced that it has been designated an Aetna Institute of Quality Orthopedic Care Facility for total joint replacement and spine surgery.
Published in
Improving Practice Profits
January 22, 2013
18 Recently Announced ACOs
Along with CMS naming 106 new members to its Medicare Shared Savings Program this month, several commercial payors have also recently added organizations to their accountable care programs.
Here is a list of 18 ACOs that have been announced in the last two months, in alphabetical order by payor. (Note: Number 5 alone involves 10 ACOs.)
Here is a list of 18 ACOs that have been announced in the last two months, in alphabetical order by payor. (Note: Number 5 alone involves 10 ACOs.)
Published in
Orthopedic & Spine Industry Leaders
August 02, 2012
9 Recently Formed Commercial ACOs
The following commercial accountable care organizations or arrangements were announced since June, beginning with the most recent.
Published in
Billing & Coding
August 01, 2012
Texas Health Harris Methodist Hospital Southlake Receives Aetna Spine Surgery Recognition
Texas Health Harris Methodist Hospital Southlake (Texas) has been designated an Aetna Institute of Quality in the area of spine surgery, according to a news release.
Published in
Spine
June 28, 2012
11 Statistics on Most Payor Coverage Denials
In the Medscape Insurer Ratings Report 2011, physicians listed the companies with the greatest frequency of denials, with United Healthcare at the front of the pack. The responses were collected from 10,214 physician surveys and included only those that specified a specific answer. Here are 11 statistics about who gives physicians the highest denial rate:
Published in
Billing & Coding
June 20, 2012
16 Statistics on Payor Timeliness & Accuracy
The National Health Insurer Report Card released data on Aetna, Anthem Blue Cross Blue Shield, Cigna, Health Care Service Corporation, Humana, Regence, UnitedHealthcare and Medicare. The data was gathered from 380 physician practices between February and March 2012.
Published in
Billing & Coding
Hoag Orthopedic Institute has entered into a partnership with McKesson and Aetna to create the first automated implementation of the Integrated Healthcare Association's bundled payment model.
Published in
Improving Practice Profits
February 15, 2012
Health Insurers Allege Fraud and Kickbacks Against Out-of-Network ASC Providers Who Forgive Patients' Financial Responsibility
This article was written by John A. Mills, JD, an associate with Fenton Nelson's litigation and compliance groups, in response to a recent lawsuit filed by Aetna against Bay Area Surgical Management LLC, alleging the surgery centers illegally induced its physician investors to refer their patients to the surgery centers with promises that the patients would not have any financial responsibility to the surgery centers for their out-of-network coinsurance and deductibles. Mr. Mills has a wide range of experience representing and advising healthcare professionals, hospitals, ambulatory surgery centers and other provider clients in a variety of business and civil litigation and regulatory matters.
Published in
Improving Practice Profits
April 21, 2010
Top 3 ASC Payors by Volume for Orthopedics By Region
Here are the top three ASC payors by volume for orthopedics by CMS region, according GENASCIS's database of information from more than 700 ASCs across the country.
Published in
Lists and Statistics




