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In this issue
PDF Icon Small CMS Clarifies Anti-Markup Rule for Diagnostic Tests
The Centers for Medicare and Medicaid Services (CMS) has released updated instructions to contractors regarding the technical and professional components of diagnostic tests that are subject to the anti-markup rule, which was first established in early 2009. The new instructions are set to take effect March 15, 2010. (Read more...)

PDF Icon Small U. S. Health Spending in 2009: Largest Increase in 40 Years
As the national debate surrounding healthcare reform continues, national health expenditures (NHE) as a percentage of gross domestic product (GDP) continue to cause concern. In contrast to 2008, in which overall health spending in the U.S. increased by the smallest percentage since 1960 (4.4%), in 2009, total NHE increased by 5.7% while the nation's gross domestic product (GDP) shrank by 1.1%, and as a result, NHE increased from 16.2% to 17.3% of the nation�s GDP: the largest one-year increase in history. (Read more...)

PDF Icon The Regulation of Mid-Level Provider Practice
Mid-level providers face significant regulatory scrutiny as mandated by state and federal law, which govern the supervision and scope of mid-level providers and differ by state, specialty, practice setting, and the provider�s specific role in the provision of care.
(Read more...)

HCC Background
Founded in 1993, HCC has developed significant research resources; a staff of experienced professionals with strong credentials; a dedication to the discipline of process and planning; and, an organizational commitment to quality client service as the core ingredients for the cost-effective delivery of professional consulting services. HCC has served a diverse range of healthcare industry & medical professional clients in over 45 states including hospitals & health systems (both tax exempt & for profit); outpatient & ambulatory facilities; management services organizations; clinics, solo & group private practices in a full range of medical specialties, subspecialties & allied health professions; managed care organizations; biotechnology and pharmaceutical ventures; ancillary service providers; disease management firms; Federal and State agencies; public health and safety agencies; other related healthcare enterprises and agencies; and, these clients� advisory professionals, e.g., their consulting, legal and accounting firms.

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