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Mass. hospitals get Medicare funding lift, lots of criticism

The state's hospitals will get $275 million more a year in Medicare payments because of a special provision inserted in the health law. Critical reactions are coming from both inside and outside of Massachusetts.

6 Aug 2011

Providers, patients worry about debt deal

Though the initial phase of the debt deal doesn't include immediate provider cuts, analysts say the next phase — the work of the 'super committee' — could make significant reductions in spending for entitlements like Medicare and Medicaid. Even some elements of the health law and scientific research could be on the chopping block.

6 Aug 2011

Dems launch Medicare attack on GOP

The campaign, which will be staged during Congress' August recess and is being advanced by the Democratic Congressional Campaign Committee, will focus on 44 House Republicans and will charge them with wanting to cut Medicare. Democrats hope this effort will be aided by the lines drawn during the debt-ceiling negotiations.

6 Aug 2011

Sebelius, Berwick tout drop in Medicare Rx costs

Even as health costs continue to rise, Medicare beneficiaries will see the average price of a Part D drug plan decline slightly next year, the Obama administration announced Thursday, offering some relief amid pressure to cut the federal health insurance program for the elderly.

6 Aug 2011

Pentagon officials urge lawmakers to find savings in Medicare

As the yet-to-be named members of the debt deal's 'super committee' set to work, Pentagon officials say deep cuts in defense spending will place the nation's security at risk. Meanwhile, one of the defense budget's fastest growing line items is health care costs.

6 Aug 2011

Research roundup: Hospitalists & health costs; treating substance abuse

This study looks at the effects hospitalists -- or physicians who specialize in hospital medicine and health care -- have on patient care, costs and use of medical services.

6 Aug 2011

Viewpoints: Birth control decision fallout; docs on Medi-Cal reimbursement; cutting out middlemen insurers

The most important financial matter for members of Congress when they return from their vacation is to figure out what is essential and what should be reduced or eliminated. … Medicare and Medicaid are absolutely justified for all of us at all ages.

6 Aug 2011

Debt-ceiling legislation could reduce Medicare payments to hospitals

MedeAnalytics, a leading provider of healthcare performance management solutions, today released an estimate of the impact on Medicare payments to hospitals by recently enacted debt-ceiling legislation. Bottom line: over the next 10 years, individual hospitals could see Medicare payments reduced by $1.1 to $1.4 million per year.

5 Aug 2011

First Edition: August 5, 2011

In the news today... The cost of premiums for Medicare's prescription drug program won't rise in 2012. Meanwhile, Medicare data reveal a gap in hospital performance and perception.

5 Aug 2011

More than 120 hospitals have high death rates for heart failure or pneumonia: USA TODAY

A USA TODAY analysis of more than 4,600 U.S. hospitals has found that 120 of those most highly rated by patients have higher than average death rates for heart attack, heart failure or pneumonia. More than a dozen of these hospitals have high death rates for at least two of those conditions.

5 Aug 2011

Lobbyists, lawmakers stake out positions for debt deal's next phase

As potential candidates for the 'super committee' emerge on Capitol Hill, lobbyists are trying to figure out how to influence the panel's decisions and also are gearing up for major public relations campaigns. Health care interests are likely to be among the most active because they have a great deal at stake.

5 Aug 2011

Medicare's recovery audit contractor program collected $575.2 million since 2009

The CMS' Medicare fee-for-service recovery audit contractor program collected about $233.4 million in overpayments from March through June of this year, bringing the total of recouped overpayments since October 2009 to about $575.2 million.

5 Aug 2011

States seek Medicaid waivers, wrestle with funding cuts

Oregon and Utah have waiver requests pending. Meanwhile, in Tennessee, steep Medicaid cuts are leading to the sale of some hospitals. And, in Arizona, a judge will soon decide whether health coverage should be restored for some low-income state residents whose health insurance ceased as a result of budget cuts.

5 Aug 2011

Deficit deal: Next steps and new developments

News outlets are reporting on how the next phase called for in the deficit plan will likely follow a rocky road, which could include broken promises on entitlements, danger for the health law and leave the health sector hoping for the lesser evil.

5 Aug 2011

Longer looks: Treating Down syndrome?; mentally ill, meds & trials

Politicians want to lower spending, or at least they say they do. But in all the to-and-fro over raising the debt ceiling, little sensible has been said about lowering spending in the long term. Nothing illuminates this more clearly than health care.

5 Aug 2011

State roundup: Windfall for Mass. hospitals

Hospitals in Massachusetts will reap an annual windfall of $275 million due to a loophole enshrined in the new health care law. Hospitals in most other states will get less money as a result.

5 Aug 2011

Viewpoints: 'Real' Medicare cuts?; HIV/AIDS prevention push; contraceptive coverage

Well, not really. A primer on the debt deal's health-care bookkeeping. All politicians—but these days especially Democrats—like to pretend they'll pay providers somewhat less in the future, despite knowing that is unlikely to happen in practice. Medicare's prospective payments are low enough that further reductions may jeopardize access to care and in many cases threaten the viability of hospitals and physician practices.

5 Aug 2011