payers & providers california edition – issue of april 26, 2012
TRANSCRIPT
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8/2/2019 Payers & Providers California Edition Issue of April 26, 2012
1/6
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{sdmi~`cf ib v`c Ngmcbfgt ~cnvilb-~{gnc {ctoivvibj"
Ngmieltbig Cfivilb
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ng{gnivy nlsmf egmm dy v`c zgy~ifc"G ~vsfy nlbfsnvcf mg~v egmm dy v`cLgamgbf/dg~cf Ngmieltbig Ib~vivsvc eltBst~ibj gbf @cgmv` Ngtc nlbnmsfcf v`gv 6>#le bst~ibj ~n`llm jtgfsgvc~ zctc sbgdmc vlldvgib hld~ ib v`c cmf 70 olbv`~ gevct v`cyldvgibcf v`cit mincb~c" V`c bsodct~ gtc~ioimgt vl g ~stucy NIB@N nlbfsnvcf ib 4;7;-z`cb iv elsbf 64# le bczmy oibvcf bst~c~nlsmf blv bf zlta elt g {tlmlbjcf {ctilf"
Ibfs~vty ld~ctuct~ dmgoc g ugticvy leegnvlt~ elt v`c vlsj` hld ogtacv- ibnmsfibj v`ctcmsnvgbnc le lmfct bst~c~ vl tcvitc- gbf v`ctc~i~vgbnc golbj ogby bcz jtgfsgvc~ vl
tcmlngvc elt hld~ ziv` {tluifct~ ib ~sdstdgb lttstgm gtcg~"I mluc v`c Dgy Gtcg- oy egoimy i~ `ctc-
gbf I flbv zgbv vl oluc" I `cgt v`gv gmm v`cvioc- ~gif ^sxcvvc Ngtfib- g~~i~vgbv fcgb le~vsfcbv geegit~ gv v`c SNMG ^n`llm le Bst~ibjz`l zg~ v`c ~stucy~ {tibni{gm ibuc~vijgvlt"Ngtfib gffcf v`gv bst~c~ z`l jtgfsgvc etlonloosbivy nlmmcjc~ ziv` gb g~~lnigvc fcjtccgtc gm~l `guibj g `gtf vioc jcvvibj `itcf"
Le v`l~c bst~c~ z`l nlsmf blv bf zlta-64# ~gif iv zg~ dcngs~c v`cy zctc vlmf g
dgn`cmlt~ fcjtcc zg~ {tcecttcf lt tcwsitcf"V`gv zg~ v`c ~cnlbf ol~v/nivcf gb~zct elt bljcvvibj g hld- elmmlzcf dy g mgna lecp{cticbnc- gv 94#"
V`l~c bst~c~ ziv` egt oltc cp{cticbnc gttcmsnvgbv vl mcguc v`c {tlec~~ilb" Gdlsv 76#le v`c vlvgm bst~ibj zltaeltnc ib Ngmieltbig i~lmfct v`gb 5; ycgt~ le gjc- gnnltfibj vlNIB@N fgvg" Fcmltg~ Hlbc~- NIB@N~cpcnsviuc fitcnvlt- ld~ctucf v`gv ogby ngbblvmcguc dcngs~c v`cit tcvitcocbv {ltvelmil~ vlladij `iv~ lt v`cy `guc g egoimy ocodct z`l i~lsv le zlta"
Zc ablz v`c sbco{mlyocbv le g ~{ls~clt v`c bccf elt bst~c~ vl zlta cpvtg `lst~ i~acc{ibj g mlv le v`co ib v`cit hld~- ~`c ~gif"
V`c fgvg gtc g ~ldctibj tccnvilb le v`cfcug~vgvilb v`c Jtcgv Tcnc~~ilb `g~ ibinvcf
lb z`gv `g~ mlbj dccb nlb~ifctcf g tlds~vhld ~lstnc" Eiuc ycgt~ gjl- bst~c~ zctc dcibjmstcf vl {l~ivilb~ ziv` uc/jstc ~ijbibjdlbs~c~" Gbf fc~{ivc v`c hld ~vgjbgvilb vl`guc `iv Ngmieltbig~ bst~ibj ~cnvlt ib v`cibvctucbibj ycgt~- fcoljtg{`ct~ {tcfinvbst~c~ zimm tcogib ib ~`ltv ~s{{my elt fcngfc~vl nloc"
G{tim >;/Ogy 7
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8/2/2019 Payers & Providers California Edition Issue of April 26, 2012
2/6
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flbgvilb {tljtgo ziv` v`c ibvcbv le`cm{ibj {lvcbvigm ~vco ncmm vtgb~{mgbvtcni{icbv~"
V`c `l~{ivgm i~ cbnlstgjibj{gtcbv~ le bczdltb n`imftcb vlflbgvc dmllf etlo v`cit sodimingmnltf~ vl v`c ibvctbgvilbgm ~vco ncmmvtgb~{mgbv tcji~vty" Nltf dmllf i~ tin`ib ~vco ncmm~- z`in` ngb dc s~cf elt gugticvy le vtgb~{mgbv {st{l~c~-{gtvinsmgtmy vl ~s{{mgbv dlbc ogttlzvtgb~{mgbv~ ib mcsacoig {gvicbv~-z`in` gtc `ij`my ibug~iuc gbf ngb dcfiensmv vl ogvn` flblt~"
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V`c flbgvcf nltf dmllf zimm dc~ntccbcf dy OF Gbfct~lb NgbnctNcbvct ib @ls~vlb gbf v`cb cbvctcfibvl v`c tcji~vty"
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Hs~v sbfct 7-3;; bst~ibj jtgfsgvc~ zctc~stucycf dy NIB@N- tc{tc~cbvibj gdlsv 7;#le v`c 73-:0; z`l zctc bczmy mincb~cf ibNgmieltbig dcvzccb G{tim 4;7; gbf Gsjs~v4;77" Oltc v`gb :;# zctc sbfct v`c gjc le>3- gbf 0:# zctc ecogmc"
G vlvgm le 3:# zctc ib v`citt~v hld~ ibbst~ibj- gbf 54# zctc co{mlycf dy gnsvc
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vl {gtvini{gvc ib v`c ~`gtcf ~guibj~ {tljtgoelt gnnlsbvgdmc ngtc ltjgbixgvilb~" [tcoict GNL [`y~inigb~ Bcvzlta ibMgaczllf gbf G{{mcNgtc Ocfingm GNL ibDscbg [gta gtc cp{cnvcf vl `guc gdlsv4;-;;; miuc~ nlodibcf sbfct v`c v`tcc/ycgt{tljtgo"
Gmvljcv`ct- 4: GNL~ zctc ~cmcnvcf dy v`cNO^ bgvilbzifc vl {gtvini{gvc ib v`c {tlhcnv-z`in` i~ giocf gv ~mlzibj v`c nl~v le ngtibjelt Ocfingtc dcbcnigtic~" Mgvc mg~v ycgt- ivgbblsbncf >4 {ilbcct {gtvini{gbv~ ib GNL{tljtgo~"
Zc gtc cpnivcf vl zcmnloc G{{mcngtcgbf [tcoict g~ {gtvbct~ ziv` Ocfingtc gbfmlla eltzgtf vl zltaibj ziv` v`co vlio{tluc ngtc elt Ocfingtc dcbcnigtic~ ib Ml~Gbjcmc~ gbf Ltgbjc nlsbvic~-$ ~gif NO^gnvibj Gfoibi~vtgvlt Ogtimyb Vgucbbct"
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nlodibgvilb le vcn`blmljy gbf ngtcesmmynlltfibgvcf ngtc vl tcfsnc nl~v~" Eltcpgo{mc- ocfingm tcnltf~ zimm dc nml~cmy
~ntsvibixcf vl fcvctoibc z`in` le v`c{gtvini{gvibj Ocfingtc cbtlmmcc~ `g~ figdcvc~z`in` ngb mcgf vl osmvi{mc `l~{ivgmixgvilb~ ieblv ac{v sbfct nlbvtlm"
Zc zimm jl gevct v`l~c dcbcnigtic~ ziv`figdcvc~ gbf jl gevct nlbvtlmmibj v`cit dmllf~sjgt" Iv zimm dc g {tlgnviuc g{{tlgn` g~l{{l~cf vl c{i~lfin ngtc- `c ~gif"
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G{{mcNgtc gm~l zgbv~ vl tcfsnc v`ctcgfoi~~ilb tgvc~ ziv`ib >; fgy~ le gb ibivigm`l~{ivgmixgvilb" Bgvilbzifc- v`c tcgfoi~~ilb`luct~ gv dcvzccb 73# gbf 4;#" G{{mcNgtcluctgmm tcgfoi~~ilb tgvc i~ gdlsv 7>#- z`in`Hgib dcmicuc~ i~ g tcgmi~vin ldhcnviuc elt iv~~`gtcf ~guibj~ {l{smgvilb"
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Iv~ gmm ~{cnsmgviuc- dsv g 3# vl 7;#dlbs~ {gyocbv zlsmf dc binc- `c ~gif"
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gbf v`cit ntivingm v`ibaibj ~aimm~ gtc dcvvctfcucml{cf"Hlbc~ ~gif 0;# le v`c {gtvini{gbv~ ib
v`l~c {tljtgo~ ~llb ldvgib g bst~ibj hld"
Bst~c~ (Nlbvibscf etlo [gjc Lbc)
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-
8/2/2019 Payers & Providers California Edition Issue of April 26, 2012
3/6
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