Pharmacists to Descend on Washington March 24, 2017 By Christine Blank DIR fees and health-care reform will lead pharmacists’ legislative concerns. Start MACRA reporting with a HIPAA risk assessment, or don’t start at all March 23, 2017 By Art Gross Here are five key security risk assessment elements to identify and remediate. New Legislation Aims to Prohibit DIR Fees February 22, 2017 By Christine Blank Bills have been introduced in both the Senate and House that are aimed at stopping direct and indirect remuneration fees, assuming they are passed. Getting Reimbursed for Services Rendered: It’s no Magic Trick February 10, 2017 By Peter A. Kreckel RPh Pharmacists use their expertise to help patients -- as well as insurance companies. But we do it for free! Top four healthcare industry changes to watch in 2017 February 03, 2017 By Karen Appold In order to survive as a managed care organization, it’s important to stay on top of policy changes and reimbursement trends. Five healthcare policies to expect under President Trump January 27, 2017 By Tracey Walker As Donald Trump was sworn in as the 45th U.S. president, health policy experts share with Managed Healthcare Executive what’s next for healthcare. Keloid care and insurers – will they or won’t they pay? January 19, 2017 By Bob Kronemyer Insurers tend to think of keloids as a cosmetic issue so they have a wide range of standards covering reimbursement for care and treatments. Practitioners must fully document the medical necessity of the care they provide and then code the conditions and treatments correctly to maximize their chance for reimbursement. Top challenges in cancer care January 14, 2017 By Tracey Walker Cancer drug costs remain the most critical challenge in care, among other things. How bundled payments really do work January 10, 2017 By Tracey Walker One study shows that the way Medicare is paying for joint replacements is saving millions of dollars annually and keeping patients satisfied, too. Nine things healthcare executives should know about MACRA January 06, 2017 By Pranjali Joshi Although CMS released the final rule for MACRA in October, there is still quite a bit of confusion.