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

NASHP

1002(32), but excludes any coverage by Medicare, Medicaid, TRICARE, Veterans Administration, Indian Health Services, and the Federal Employee Health Benefit Plan. If a health benefit plan does not reimburse claims on a fee-for-service basis, the payment method used must take into account the limits specified in subsection (2)(A).

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

KHN

Federal regulators, meanwhile, are almost blind to the incursion, since private equity typically acquires practices and hospitals below the regulatory radar. The firms have made inroads into ancillary services such as diagnostic and urine-testing and software for managing billing and other aspects of medical practice.

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

KHN

Federal regulators, meanwhile, are almost blind to the incursion, since private equity typically acquires practices and hospitals below the regulatory radar. The firms have made inroads into ancillary services such as diagnostic and urine-testing and software for managing billing and other aspects of medical practice.

Doctors 52