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FICO's Insurance Fraud Manager to be incorporated in Emdeon's healthcare revenue and payment cycle solutions

FICO, the leading provider of analytics and decision management technology, and Emdeon Inc, a leading provider of healthcare revenue and payment cycle management solutions, today announced a commercial agreement aimed at preventing fraud, waste and abuse in the health insurance system.

15 Apr 2010

Lawyer suggests tips on insurance and well being

"You've just found out that your insurance co-pays or coinsurance to see your physician are going to be higher this year. You may think, 'I'll just not see my doctor unless I get really sick.' This way of thinking may reduce a few co-pays to save money but a recent study found that deferring regular care is actually increasing the amount of money and time patients are spending for inpatient care," says Frank N. Darras, the nation's top insurance lawyer.

15 Apr 2010

Free health reform webcast on health risk management, wellness for employers

Employers concerned about new health insurance rules under the new health reform law will get practical tips during Lockton's free Health Reform Summit online May 4-5 and May 11-12.

15 Apr 2010

States examine role in health reform implementation, worry over scams

The federal government is turning to states to "to institute key components" of the health overhaul law, "some of which have never existed before."

15 Apr 2010

SCL provides affordable orthodontic program for children

You've done your taxes and 2009 proved to be a pretty bad year. Your tax return shows just how much less money your family earned, making the possibility of providing orthodontic treatment for your children this year even more distant.

15 Apr 2010

OHSU awarded $5.8M in ARRA funds to educate health IT professional work force

Oregon Health & Science University has been awarded $5.8 million in American Recovery and Reinvestment Act funds to advance the widespread adoption and meaningful use of health information technology by educating professionals to work in this rapidly growing field.

15 Apr 2010

Experts, public consider health reform merits, hardships and unintended consequences

Confusion persists about health reform and insurance for members of Congress. "The law stipulates that lawmakers and some members of their staffs enroll in new health insurance exchanges. But an apparent drafting error in the law makes it unclear when that transition is supposed to occur."

15 Apr 2010

Florida to enact health care legislation to improve access to ARV therapy

Florida is poised to enact health care legislation that would add clarity to existing state statutes by requiring that all state-regulated health plans include lifesaving antiretroviral (ARV) HIV/AIDS drugs on their drug formularies or preferred drug lists.

15 Apr 2010

COBRA health insurance subsidies waiting for Senate action

Kaiser Health News staff writer Andrew Villegas writes: "People recently laid off are waiting -- once again -- to hear if they will be eligible to get subsidies to stay on their employer's health insurance.

15 Apr 2010

Financial concerns can delay heart attack treatment

A study published Tuesday in the Journal of the American Medical Association reports that financial concerns can lead people having heart attacks to delay treatment.

15 Apr 2010

Insurance status and heart attack, many patients not seeking needed help

The signs of a cardiac arrest may exist but if you are under insured or not insured there is good chance that you may not undertake the recommended life saving actions of getting professional help as soon as you can.

14 Apr 2010

First Edition: April 13, 2010

Today's headlines highlight the Senate's procedural vote to extend COBRA subsidies, a ruling by a Massachusetts court rejecting a bid by health insurers to raise premiums and how some states are fretting over health insurance scams.

13 Apr 2010

Common sense gun laws needed to stem crippling costs of gun violence

After a spate of random shootings and gun homicides, Illinois Campaign to Prevent Gun Violence, along with doctors and medical professionals, convened at Children's Memorial Hospital to send an urgent plea to state lawmakers to require background checks on all handgun sales in order save lives and reduce escalating health care costs related to gun violence.

13 Apr 2010

Eliza to participate in a panel discussion at 2010 World Health Care Congress

Eliza Corporation, the leading provider of integrated healthcare communication strategies, will participate in a moderated discussion at the 2010 World Health Care Congress. The panel, entitled "Redesign for the New Consumer Customer," will explore the drivers that increase healthcare consumer satisfaction and address these consumer values to foster changes in health care design and delivery.

13 Apr 2010

Transparent Health Network adds MPG to provider network

Transparent Health Network today announced the addition of Manhattan's Physician Group (MPG), the largest multi-specialty group in New York City, to its provider network. A new health care access plan that advocates for the working uninsured by negotiating dramatically reduced fees that are 35 to 60% lower than the "retail" fees typically charged to patients without insurance, Transparent Health Network is not insurance. In exchange for the reduced fees, members pay providers directly when they receive care.

13 Apr 2010

False claims to Medicare: Los Angeles DME company owner pleads guilty

The owner and operator of a Los Angeles durable medical equipment (DME) company pleaded guilty today to submitting nearly one half of a million dollars in false claims to Medicare, announced the Departments of Justice and Health and Human Services.

13 Apr 2010

UPMC Health Plan to host training session on child health- We Can!

UPMC Health Plan will host a two-day training session designed to teach community leaders about We Can! (Ways to Enhance Children's Activity & Nutrition) April 27-28, 2010, at Marriott City Center Hotel, Uptown.

13 Apr 2010

Uninsured migraine sufferers likely to get inadequate treatment: Neurology

People with no health insurance are less likely than the privately insured to receive proper treatment for their migraines, according to a study published in the April 13, 2010, print issue of Neurology, the medical journal of the American Academy of Neurology.

13 Apr 2010

KHN column - Medicare advantage competitive pricing: The political failure of a good idea

Few Americans should be satisfied with the way the government pays private health insurance plans that participate in the Medicare Advantage program. Taxpayers pay 14 percent more to insure a beneficiary through the Advantage program than through traditional, fee-for-service Medicare, the program's 'public option.'

13 Apr 2010

Small businesses continue search for health reform information

The Bergen County (N.J.) Record/NorthJersey.com: Small businesses continue to assess the impact health reform will have on them. "While some believe the reforms will help control health costs and give assistance to small businesses that can't afford worker coverage, others are skeptical they will benefit when the plan is up and running — and some are sure it will hurt.

13 Apr 2010