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Viewpoints: Calif.'s budget, Supreme Court drug rulings, the Avastin debate

The budget is not realistic, counting on fantastical revenue projections as well as a redevelopment gambit that's likely to be blocked in court. It makes deep cuts in state programs that will have unwelcome repercussions in years to come. And if the revenue projections prove to be as overly optimistic as they seem, there will be more damaging cuts to education, child care and health services. Nevertheless, it's a more earnest effort to clean up the state's budget mess than Sacramento has seen in a decade or more.

30 Jun 2011

Interest, uncertainty surround health exchanges, ACOs

In other news related to health law implementation, Sen. Jerry Moran, R-Kan., has co-sponsored legislation to allow states to opt out of the health law until legal challenges related to it are resolved.

29 Jun 2011

First Edition: June 29, 2011

In today's news, two senators offer a new plan for Medicare cuts -- which includes increasing the eligibility age -- but top Democrats lined up against it.

29 Jun 2011

President steps in as debt talks remain divided — Medicare savings in exchange for added revenue?

As the high-level negotiations continue, health care advocates are stepping up their campaigns to protect against Medicare and Medicaid cuts. Meanwhile, organizations representing physicians — including the American Medical Association — maintain that a permanent fix to Medicare's physician payment formula should be included in the debt-ceiling legislation.

29 Jun 2011

Anti-fraud activities shift to Medicare, mortgage lending; Others less likely to face prosecution

The drop in criminal prosecutions indicates a shift for federal law enforcement agencies, which have increasingly targeted schemes aimed at mortgage lending, financial institutions and Medicare, the government [health] insurance plan for the elderly.

29 Jun 2011

Study: Doctors turning away more insured patients

The findings, published in the Archives of Internal Medicine, tracked the rates of patients who were accepted by physicians -- including those with private insurance and with Medicare.

29 Jun 2011

Texas passes health program revamp; Oregon House acts to create better coordinated care

The Legislature approved and sent to the governor Monday a health care savings bill under which Texas could seek permission to redesign entirely the Medicaid and Medicare programs, and abortion-rights opponents scored several victories in the measure (Garrett, 6/27).

29 Jun 2011

Aetna acquires Prodigy Health Group

Aetna today announced that it has completed its acquisition of Prodigy Health Group, the nation's largest independent third party administrator (TPA) of self-funded health care plans.

29 Jun 2011

Roundup: UMass students complain about insurance plan; Indiana stops paying for children's vaccines; Suit filed to stop Arizona Medicaid cuts

Student leaders at the University of Massachusetts Amherst campus say changes in the students' health insurance plan will unfairly hit hardest on women, low-income students, and those with mental illnesses.

29 Jun 2011

Viewpoints: A health law legal precedent, hospital-acquired infections, price cap scrutiny

The Supreme Court's most important ruling this year may have been its unanimous decision in Bond v. United States, which held that individual citizens can challenge federal statutes when they encroach on authority the Constitution reserves to the states. The decision, authored by Justice Anthony Kennedy, has far-reaching implications — especially for the government's efforts to defend ObamaCare.

29 Jun 2011

Golden Rule Insurance offers summer travel tips

Summer is here and it's time to get away. But while you are making vacation plans, take a few minutes to think about what you might do if an unexpected medical emergency should occur, especially if you are traveling away from home.

28 Jun 2011

HHSC, Texas Health extend Kofax Capture solution

Kofax plc, the leading provider of document driven business process automation solutions, today announced the Texas Health and Human Services Commission (HHSC) has extended its Kofax Capture solution to process a higher number of documents annually.

28 Jun 2011

Viewpoints: Supreme Court drug decisions; Medicaid's burden; Concierge medicine questioned

The image of Justice blindfolded, holding her scales, is familiar from courthouses all over the United States and the world. Sadly, in its Thursday ruling in the case of PLIVA v Mensing, the U.S. Supreme Court made a decision that makes one wonder if that blindfold made the court unable to see the right thing to do.

27 Jun 2011

State roundup: Indiana's effort to privatize public assistance

(Louise) Cohoon's mother, now suffering from Alzheimer's disease, was one of thousands of Indiana residents who abruptly and erroneously lost their welfare, Medicaid or food stamp benefits after Republican Gov. Mitch Daniels privatized the state's public assistance program — the result of an efficiency plan that went awry from the very beginning, the state now admits.

27 Jun 2011

Research roundup: Revamping public health law; Pay-for-performance

New Cardiac Surgery Programs Established From 1993 To 2004 Led To Little Increased Access, Substantial Duplication Of Services -- This study, using Medicare data from 1993-2004, finds that although the number of coronary artery bypass surgeries declined, 301 new cardiac surgery units opened.

24 Jun 2011

State highlights: Calif. insurance regulatory system criticized

The two-headed beast that regulates health insurance in California is under fire. For the first time in a decade, healthcare leaders in Sacramento are publicly asking whether it's time to junk overlapping bureaucracies that police health insurers and HMOs (Helfand, 6/23).

24 Jun 2011

N.J. Assembly approves changes to state workers' benefits

Gov. Chris Christie is expected to sign the landmark legislation into law quickly. It will require state workers to pay more for health and pension benefits.

24 Jun 2011

Health law implementation progress, issues continue to draw attention

For starters, reports say the proposed rule for the measure's health exchanges is due out July 7. In addition, indications are that many public health provisions remain unfunded and movement toward electronic health records is still slow.

24 Jun 2011

As States approach new budget years, many will be cutting Medicaid

States have taken a variety of trims, from stopping payments for circumcisions in Colorado to reducing payments for rehabilitation services in Kansas to increased co-payments in California.

24 Jun 2011

Scientific evidence is key driver for gaining reimbursement for MR-guided focused ultrasound

Medical researchers have a critical role to play in gaining optimal health insurance reimbursement for MR-guided focused ultrasound. As Susan Klees, Director of Patient Access for the Focused Ultrasound Surgery Foundation, reports, "Scientific evidence is the key driver for reimbursement, and it all begins with the way studies are designed. Today, research priorities must be grounded in sound science as well as the realities of the marketplace."

24 Jun 2011