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Univita earns Health Utilization Management Accreditation from URAC

Univita announced today that it has been awarded Health Utilization Management Accreditation from URAC, a Washington, DC-based health care accrediting organization that establishes quality standards for the health care industry.

13 Oct 2011

First Edition: October 13, 2011

In today's headlines, a report about how Mitt Romney's health law waiver plan would work -- states could skirt some of the measure's biggest requirements, but it's still not a complete repeal.

13 Oct 2011

AARP members take to the Hill to protect entitlements

In effort to reinforce national television advertising, more than 400 AARP volunteers and staffers will be on Capitol Hill today to remind lawmakers not to cut Medicare. Meanwhile, both Democratic and Republican leaders are sending clear messages to the "super committee" and their fellow lawmakers regarding what they think should be on the table and how to frame expectations.

13 Oct 2011

37 states, D.C. advance plans to improve health outcomes for dual eligibles

The states and D.C. are proposing demonstration projects to better coordinate and therefore improve care for an estimated 9 million people who fall into this category. States would receive a share of any resulting savings.

13 Oct 2011

At debate, Romney offers spirited defense of Mass. health plan

At Tuesday night's GOP presidential hopeful face-off, former Mass. governor Mitt Romney was the focus of the other candidates, who criticized his economic policies and his state's health overhaul. But, having earned the endorsement of New Jersey Gov. Chris Christie earlier in the day, he appears to be gaining momentum.

13 Oct 2011

Physicians continue press to fix payment formula

Physicians are turning to a formulaic but effective routine to persuade lawmakers to change a Medicare payment formula: The American Medical Association dispatched doctors from 23 states on Tuesday for Capitol Hill visits, four days after a two-week national ad campaign launched.

13 Oct 2011

Berwick upbeat as ACO reg moves through review

CQ HealthBeat reports on the progress of the much-anticipated final rule for accountable care organizations. Meanwhile, the Connecticut Mirror reports on state progress regarding its state-based health exchange.

13 Oct 2011

Viewpoints: Screening for prostate cancer, stem cell research and free coverage for Iowa lawmakers

As a practicing internist, I need all the help I can get in diagnosing the many diseases that threaten the life and well-being of my patients. So perhaps you'll understand why I'm angered by the reckless new recommendations from the U.S. Preventive Services Task Force (a panel of primary care experts) that I don't use the prostate-specific antigen to screen men older than 40 for prostate cancer.

13 Oct 2011

First Edition: October 12, 2011

Kaiser Health News staff writer Christopher Weaver reports: "Competition is fiercest in places like Boston, where high-ranking plans are near their goal, but shades of this quality arms race are visible throughout the country. Insurers have rarely competed on quality measures, but as the federal government prepares to unleash an estimated $3 billion to $4 billion next year in bonus payments, the industry is following the money. Star-ratings are bleeding into bottom lines, board meetings, and corporate strategy as the insurers chase top scores."

12 Oct 2011

HHS OIG will investigate 'incident to' Medicare billing

A watchdog agency in the US Department of Health and Human Services (HHS) wants to know how many office visits, consultations, eye exams, skin grafts, and other services are performed by unqualified nonphysicians under Medicare's "incident-to" billing rules.

12 Oct 2011

Democrats and Republicans agree: Super committee's work should be less secret

The New York Times reports that both parties are calling for a window into the deficit-reduction panel's deliberations. Meanwhile, Politico Pro offers scenarios regarding how the committee could potentially address Medicare's "doc-fix" issue.

12 Oct 2011

Final ACO regs face last looks before public release

The final regulations to implement the accountable care organization provisions of the 2010 health care reform law have entered one of their last steps, according to an online notice. The Office of Management and Budget began its review of the final rule for the ACO program, also known as the Medicare Shared Savings Program, on Oct. 5. Such OMB reviews are usually the last or one of the last steps that regulations take before they are publicly issued.

12 Oct 2011

COPAXONE reduces loss of brain volume in patients with RRMS

Results from a five-year study of treatment-naïve patients with relapsing-remitting multiple sclerosis (RRMS) demonstrated that patients treated with COPAXONE (glatiramer acetate injection) showed significant reduced loss of brain volume compared to patients treated with other disease modifying therapies.

12 Oct 2011

Viewpoints: The value of testing for prostate cancer; rewards for transplant donors; Calif.'s medical marijuana problem

For men older than 50, a simple blood test to screen for prostate cancer is as much a part of annual physicals as weigh-ins and stethoscopes. The PSA test is painless, inexpensive and the only way to detect the disease - the most common male cancer - before symptoms turn up.

12 Oct 2011

NovaSom enters unique agreement with HealthAmerica to treat sleep disorders

NovaSom, Inc., the market leader in technology-driven, payer-aligned cost-saving solutions for obstructive sleep apnea (OSA) management, today announced it has entered a preferred relationship to aid HealthAmerica with managing its sleep disorder diagnostic expenses.

11 Oct 2011

First Edition: October 11, 2011

Today's headlines include reports about how Mitt Romney taking heat from the other GOP hopefuls, with some of the fire focusing on his Massachusetts health overhaul.

11 Oct 2011

Leading U.S. health insurance provider to implement Kofax's Atalasoft DotImage SDK

Kofax plc, a leading provider of capture driven business process automation solutions, today announced it will provide the Atalasoft DotImage software development kit (SDK) to a leading health insurance provider in the United States. The value of the contract to Kofax exceeds $150,000.

11 Oct 2011