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HHS issues interim rules for grandfathered health plans

The government suggested that under a highly complicated interim rule released today more than half of employer-sponsored health plans could lose their special status that shields them from some aspects of the new health overhaul. The administration outlined "a number of ways health plans could lose their grandfathered status. Plans that substantially eliminate benefits to diagnose or treat a particular condition would lose the status, for instance.

15 Jun 2010

States, Feds look to expand ACOs and medical homes

Crain's New York Business, on ACOs in New York: "Authorized by the Patient Protection and Affordable Care Act signed into law by President Barack Obama in March, ACOs are intended to reward providers that shift their focus to preventive care and presumably reduce the need for expensive procedures.

15 Jun 2010

CMS to hold Medicare claims for four more days

Doctors treating Medicare patients won't be hit with a steep pay cut Tuesday, as previously scheduled, the Obama administration announced Monday. Instead, the Centers for Medicare and Medicaid Services is holding claims until Friday, anticipating that Congress will intervene this week. The move is the latest in a string of efforts to prevent Medicare doctors from receiving a 21 percent pay cut, which technically went into effect June 1."

15 Jun 2010

AMA adopts new policies to strengthen physician workforce

The American Medical Association adopted today at its Annual Meeting new policies to strengthen the physician workforce to meet the nation's growing health care needs. The United States faces a shortage of between 124,000 and 159,000 physicians by 2025. Already at least 22 states and 15 medical specialties have reported physician workforce shortages, including in medically underserved regions and front-line specialties including primary care and general surgery.

15 Jun 2010

Studies show rising health costs, ways to slow them

A PricewaterhouseCoopers report suggests a leap in the portion of health costs paid directly by employees will leave the majority of the American workforce with deductibles of $400 or more for the first time next year, The Associated Press/Los Angeles Times reports. "Two years ago, only 25 percent of companies participating in the annual survey said they asked employees to pay deductibles of $400 or more.

14 Jun 2010

KHN column – Medicare Advantage: You get what you pay for

In this column for Kaiser Health News, Austin Frakt writes: "The Obama administration seems worried. In an election year, any change to Medicare that adversely affects beneficiaries is a political liability for incumbents.

14 Jun 2010

Feds to issue rules on 'grandfathered' health plans and new law

The Wall Street Journal reports that draft regulations "being developed by the Obama administration say more than half of employer health care plans may lose their grandfathered status and be required to comply with the health overhaul bill approved March 23. The guidelines are likely to touch off fresh disputes between President Obama and opponents of the health care bill.

14 Jun 2010

Health overhaul skirmishes simmer over government fliers, drug benefits

Republicans are complaining that, while the IRS sent out 4 million fliers to publicize $40 billion in tax credits for small businesses, the agency did not make a similar effort to inform tanning salons and their customers about a new 10 percent tax on their services, Politico reports.

14 Jun 2010

Health reform continue to dominate campaigns

After voting "no" on the health reform bill earlier this year, Rep. John Barrow, D-Ga., has gotten significantly less support from colleagues than he did in previous re-election bids, The Hill reports. "Only five lawmakers ... have given money from their personal campaign funds to Barrow in the 2010 cycle. Five other elected Dems gave money to Barrow through their leadership political action committees."

14 Jun 2010

AMA's support for health law sparks infighting

A fissure has developed in the American Medical Association, the powerful physicians' lobby that backed the health reform bill earlier this year, about support for the sweeping measure, according to news reports.

14 Jun 2010

Today's Opinions: Medicare advantage to shrink; Insurers anti-trust protection; Health law regulations; The need for maternity leave

In the long run, there's no getting around the fact that Advantage plans will shrink in generosity and availability (Austin Frakt, 6/14).

14 Jun 2010

Programs try cash incentives to get forgetful patients to take meds

The New York Times reports on a new approach to getting patients to take their medications consistently: financial incentives. "One-third to one-half of all patients do not take medication as prescribed, and up to one-quarter never fill prescriptions at all, experts say. Such lapses fuel more than $100 billion dollars in health costs annually because those patients often get sicker. Now, a controversial, and seemingly counterintuitive, effort to tackle the problem is gaining ground: paying people money to take medicine or to comply with prescribed treatment."

14 Jun 2010

Medical marijuana advocates bypassing traditional approval, effectiveness regulations

NPR continues its examination of medical marijuana: "Fourteen states and the District of Columbia have launched a medical experiment that doesn't follow any of the rules of science. By approving the use of marijuana as a medicine — with varying kinds of restrictions — these jurisdictions are bypassing the federal government's elaborate processes for approving medicines."

14 Jun 2010

HCL Infosystems, Wellogic partner to create India's National Health Information Exchange Environment

HCL Infosystems, India's premier information technology company and Wellogic, a renowned healthcare interoperability and point-of-care solutions provider, today announced that they are working together to create India's National Health Information Exchange Environment (INHIEE), and seeding adoption via Wellogic's world-class portal, electronic health record (EHR), and personal health record (PHR) solutions.

14 Jun 2010

Parents are little aware of concussion risks and support school policies to minimize them: Poll

With growing media attention to concussions among athletes young and old, and recent actions of the National Football League to reduce dangers from multiple concussions among its players, the spotlight is now on what schools are doing to protect their student-athletes. Do parents feel that their kids are safe, and do parents agree with school policies?

14 Jun 2010

McDermott's Health Industry Advisory Practice Group recognized as Health Team of the Year

McDermott Will & Emery is pleased to announce the Firm's Health Industry Advisory Practice Group was honored as the "Health Team of the Year" during the Chambers USA Awards in New York on June 10, 2010. This is the first time an award in this category has been given on a national basis by Chambers, and McDermott was selected over four other finalist firms.

14 Jun 2010

SearchAmerica launches Collection Performance Advisor service for hospitals

SearchAmerica, a part of Experian and a leader in financial clearing services for health care, today launched its newest service for hospitals, Collection Performance Advisor. The service equips hospital financial managers with a decision engine that uses advanced analytics and data to direct outstanding patient accounts to the appropriate collection team and outside agency to improve cash collections.

14 Jun 2010

First Edition: June 14, 2010

Today's health policy headlines report on new White House rules on changes to health insurance benefits, a study regarding employers' medical costs and the likely impact of retirements within the health care workforce.

14 Jun 2010

New book provides perspective on contributions made by nurses

The quiet actions of unsung heroes from the rainforest of Guatemala to the city streets of Harlem will be celebrated during the 2010 International Year of the Nurse in the new book, Giving through Teaching: How Nurse Educators are Changing the World (Springer Publishing).

14 Jun 2010

CAMD releases first combined clinical trial data on neuro-degenerative diseases

A new database of more than 4,000 Alzheimer's disease patients who have participated in 11 industry-sponsored clinical trials will be released today by the Coalition Against Major Diseases (CAMD). This is the first database of combined clinical trials to be openly shared by pharmaceutical companies and made available to qualified researchers around the world.

14 Jun 2010