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UHC Implements New Clinical Data Collection Protocol

In UnitedHealthcare’s (UHC) April 2015 Provider Bulletin, there was a notice regarding UHC’s clinical data collection protocol that states: “Effective July 1, 2015, care providers must submit to UnitedHealthcare all clinical data, including laboratory testing results, to support federal...

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Slight Bump Up in Medicare Reimbursement Starts July 1

The Medicare Access and CHIP Reauthorization Act (MACRA) of 2015, which repealed the Medicare Sustainable Growth Rate (SGR) formula, provides for a 0.5% update to the Medicare Physician Fee Schedule for the period July 1-December 31, 2015. The revised fee schedule for Iowa is available on the WPS Medicare...

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2014 Physician “Sunshine” Data Now Public; How to Answer Patients’ Questions

On June 30, 2015, the Centers for Medicare & Medicaid Services (CMS) published the second round of Open Payments data, which discloses payments and other transfers of value made to physicians and teaching hospitals by medical device manufacturers and pharmaceutical companies. This round of data...

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December 15 Deadline to Submit CoOportunity Health Claims

Healthcare providers, policyholders, and creditors of CoOportunity Health recently received notices reminding them of the December 15 deadline to submit claims. Any healthcare claims that have not been submitted for reimbursement, should utilize the normal processing procedure. Do not submit duplicates...

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SCOTUS: Affordable Care Act’s Subsidies are Legal

SCOTUS: Affordable Care Act’s Subsidies are Legal The Supreme Court of the United States (SCOTUS) ruled Thursday in the case of King v. Burwell 6-3  in favor of the federal government continuing to provide health insurance subsidies created by the Affordable Care Act (ACA). The ACA allows individuals to purchase health insurance coverage on exchanges...

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Paul Drey, JD, Presented with Highest Honor in Iowa Medicine Reserved for a Layperson

Paul Drey, JD, Presented with Highest Honor in Iowa Medicine Reserved for a Layperson Paul Drey, JD, was presented with the John F. Sanford Award by the Iowa Medical Society (IMS) during the 165th meeting of the organization in Cedar Rapids May 2. The John F. Sanford Award is reserved for a layperson who has made an outstanding contribution to heath care. The award is named after a...

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Iowa Physicians Submit Resolutions to AMA

The American Medical Association (AMA) heard two policy resolutions originating from the IMS Policy Forum held on May 1 in Cedar Rapids. One such resolution, submitted by Craig Clark, MD, Cedar Rapids, requested that the AMA work to make credentialing standards identical between critical access hospitals...

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Iowa Supreme Court sides with Planned Parenthood

Iowa Supreme Court sides with Planned Parenthood Today, the Supreme Court issued its ruling in Planned Parenthood v. Iowa Board of Medicine. The case centered around the constitutionality of the Iowa Board of Medicine’s (IBM) administrative rules prohibiting a physician to administer abortion-inducing medication via telemedicine. In its 6-0...

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CMS Releases 2013 Medicare Data on Physician Utilization

As part of the Administration’s efforts to promote better care, smarter spending, and healthier people, on June 1 the Centers for Medicare & Medicaid Services (CMS) released the first annual update on the medical services physicians provide and how much they are paid under Medicare Part B...

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CMS Responds to Physician Concerns About ICD-10 Transition

On March 4, 2015, IMS was a signatory on a letter the American Medical Association (AMA) sent to the Centers for Medicare & Medicaid Services (CMS) regarding concerns about CMS’ transition plan to ICD-10. The AMA recently received a response from CMS to this letter. Additionally, in a recent...

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Iowa Physicians Submit Resolutions to AMA

Iowa Physicians Submit Resolutions to AMA Eight IMS physicians attended the American Medical Association’s Annual Meeting held in Chicago June 6-10. The meeting included several House of Delegates sessions where delegates voted on AMA policies. Three resolutions submitted to the AMA originated from Iowa physicians via the IMS Policy...

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William Scott, MD, Presented with Physician Community Service Award

William Scott, MD, Presented with Physician Community Service Award Dr. William Scott, MD, Iowa City, was presented with the Iowa Medical Society's Physician Community Service Award during the 165th meeting of the organization in Cedar Rapids May 2. The Physician Community Service Award recognizes the outstanding service of an Iowa physician to his or her community. In...

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Reserve Your Tickets for Docs 'n' Pops

Reserve Your Tickets for Docs 'n' Pops There are three weeks left to reserve your tickets for the first annual Docs ‘n’ Pops party! This celebration of the Iowa Medical Political Action Committee and all things patriotic pairs the music of the annual Yankee Doodle Pops concert on the Capitol lawn with the comfort and style...

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11 MCOs Submit Formal Bids to DHS

Work to transition Iowa’s Medicaid program to a managed care model continues to progress. We now have several major updates to report, including an announcement of exactly which managed care organizations (MCOs) have submitted final bids for one of the 2-4 contracts with the state, an outline...

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Paul Mulhausen, MD, Presented Presidential Citation Award

Paul Mulhausen, MD, Presented Presidential Citation Award Paul Mulhausen, MD, Swisher, was presented with the Presidential Citation Award by the Iowa Medical Society (IMS) during the 165th meeting of the organization in Cedar Rapids May 2. Dr. Mulhausen, who is the IMS President-elect and the Chief Medical Officer of Telligen, is the third recipient to ever...

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Merit Award Presented to Michael McCoy, MD

Merit Award Presented to Michael McCoy, MD Michael McCoy, MD, West Burlington, was presented with the Merit Award by the Iowa Medical Society (IMS) during the 165th meeting of the organization in Cedar Rapids May 2. The Merit Award is reserved for a physician who has made significant contributions to the medical profession and IMS. It is among...

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Representative Linda Upmeyer

Representative Linda Upmeyer


House Majority Leader
Clear Lake
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