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  2. Regional Health Information Organization - Wikipedia

    en.wikipedia.org/wiki/Regional_Health...

    Stakeholders/ participants in this RHIO include: major and regional hospital systems, regional and national reference laboratories, state, federal, and private payors, pharmacy benefit management claims repository services, major physician practice organizations, individual providers, state government (Dept. of Health), major academic research ...

  3. Centers for Medicare & Medicaid Services - Wikipedia

    en.wikipedia.org/wiki/Centers_for_Medicare...

    HCFA was renamed the Centers for Medicare and Medicaid Services on July 1, 2001. [9] [11] In 2013, a report by the inspector general found that CMS had paid $23 million in benefits to deceased beneficiaries in 2011. [12] In April 2014, CMS released raw claims data from 2012 that gave a look into what types of doctors billed Medicare the most. [13]

  4. Healthcare in New York (state) - Wikipedia

    en.wikipedia.org/wiki/Healthcare_in_New_York_(state)

    The New York State Department of Health manages state government projects in New York. The current development plan for state government action in New York is the Prevention Agenda 2013-2017. [1] The health insurance marketplace for New York is NY State of Health.

  5. Usual, customary and reasonable - Wikipedia

    en.wikipedia.org/wiki/Usual,_customary_and...

    The US government healthcare website defines usual, customary and reasonable as being "The amount paid for a medical service in a geographic area based on what providers in the area usually charge for the same or similar medical service. The UCR amount sometimes is used to determine the allowed amount."

  6. HealthCare.gov - Wikipedia

    en.wikipedia.org/wiki/HealthCare.gov

    The New York Times [33] and The Washington Post [34] reported in November 2013 that the Obama administration brought in consulting firm McKinsey & Company to assess the website. Their report, delivered in March 2013, warned that the effort to build the HealthCare.gov site was falling behind and was at risk of failure unless immediate steps were ...

  7. Adams admin to appeal decision allowing NYC retirees to keep ...

    www.aol.com/adams-admin-appeal-decision-allowing...

    Pizzitola and thousands of other municipal retirees argue that the Medicare Advantage Plan will result in inferior health coverage for the city’s roughly 250,000 retired workers, including by ...

  8. Medicare fraud - Wikipedia

    en.wikipedia.org/wiki/Medicare_fraud

    Jimmy Carter signs Medicare-Medicaid Anti-Fraud and Abuse Amendments into law. The Office of Inspector General for the U.S. Department of Health and Human Services, as mandated by Public Law 95-452 (as amended), is established to protect the integrity of Department of Health and Human Services (HHS) programs, to include Medicare and Medicaid programs, as well as the health and welfare of the ...

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