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Medpac recommendation: Adjust Medicare's hospital inpatient payments to recoup overpayments

Modern Healthcare: "The Medicare Payment Advisory Commission is recommending that Congress further adjust Medicare's hospital inpatient payments over three years to recover overpayments that have resulted from recent documentation and coding changes." MedPAC also "called for the same recommendation as last year: to increase payment rates for inpatient and outpatient hospital services at the full rate of inflation, concurrent with the implementation of a quality incentives program.

18 Jan 2010

Missouri best in using federal aid to combat Medicaid fraud, other states fight over federal rules

The Kansas City Star reports that Missouri led the country in 2008 in efficiency in using federal dollars to combat Medicaid fraud. "The state recovered almost $29.8 million in 2008, the most recent year for which comparative data are available, while receiving about $1.6 million in federal Medicaid fraud grants. That equates to $18.81 recovered for every dollar received — 43 cents better than the next-best state" (Noble, 1/12).

18 Jan 2010

As health reform win seems close, Reid struggling in Nevada re-election bid

The Wall Street Journal: "In the nation's capital, Senate Majority Leader Harry Reid is on the brink of pushing through a national health program that Democrats rank alongside the creation of Social Security and Medicare.

18 Jan 2010

Obama signals interest in reducing the protections for biologic drugs

Lobbyists for generic biologic drugmakers are fighting to undercut a provision in the proposed health overhaul that would protect brand-name pharmaceutical companies from lower-cost, generic competition over new products for 12 years, the Associated Press reports. The generic companies have friends in high places: "White House officials and Rep. Henry Waxman, D-Calif., chairman of the House Energy and Commerce Committee, are trying to reduce the curbs against competition to 10 years or less" (Fram, 1/14).

18 Jan 2010

Health care fraud is big business

Health care fraud has become a multi-billion dollar industry - up to $100 billion a year, according to estimates - for scammers and organized crime gangs, CNNMoney reports. In recent months health care identity theft has topped the list of crimes, a con in which criminals to tap real patient information to rack up fake charges.

18 Jan 2010

Minnesota County says state plan to cover costs of health care for the needy is unfair

In Minnesota, Hennepin County officials are saying a plan to charge counties extra to "cover health care for their neediest residents would have an unfair impact on the state's largest county and biggest public hospital."

18 Jan 2010

'Cadillac' tax deal in the works

"Unions tentatively struck a deal Tuesday to exempt collectively bargained healthcare plans from a tax on high-cost plans expected to be used to help raise revenue for the healthcare overhaul," CongressDaily reports.

18 Jan 2010

Republicans decry Dems' deal with labor

Democrats' breakthrough deal with labor groups on the health overhaul yesterday is now attracting criticism as a handout to special interests, FOX News reports.

18 Jan 2010

Sen. Feingold asks Democratic leaders to remove special deals from health bill

Sen. Russ Feingold (D-Wis.) on Thursday called on Democratic leaders to strip special deals awarded to his colleagues from the final, negotiated health care reform package, although he stopped short of saying he would vote against the bill if his demands were not met.

18 Jan 2010

Democrats reportedly settle key issues on health bill but no final accord yet

Politico reports: "President Barack Obama and senior Democratic lawmakers closed in Friday on a final health care reform package, finishing a week of intensive negotiations on tax and coverage issues that had once threatened to derail the bill.

18 Jan 2010

Multiple issues still on the table in House-Senate health bill negotiations

Reports explored contentious policies in the House and Senate versions of the health-overhaul legislation that are part of the final negotiations.

18 Jan 2010

Democrats appear to reach deal on 'Cadillac' tax

The New York Times is reporting that Democratic congressional leaders and President Barack Obama "have reached a tentative deal on a proposed excise tax on high-cost, employer-sponsored insurance plans to be included in the final version of major health care legislation, according to officials familiar with the talks." Details of the compromise were not available.

18 Jan 2010

Dispute erupts between Reid and Lieberman around 'double-cross' quote

In a preview of a Jan. 24 magazine article, The New York Times reports on Senate Majority Leader Harry Reid's struggle to keep members of his caucus in line on health reform. In December, for instance, Sen. Joseph Lieberman, D-Conn., told a talk show host he would not support the health overhaul plan without significant changes, surprising the majority leader.

18 Jan 2010

Proposed tax expansions could help pay for health reform

Democratic congressional leaders are considering a new strategy to help finance their ambitious healthcare plan -- applying the Medicare payroll tax not just to wages but to capital gains, dividends and other forms of unearned income.

18 Jan 2010

Cardiologists contest Medicare cuts

A cardiologists' lobby filed suit against Health and Human Services Secretary Kathleen Sebelius, claiming cuts to heart care services, especially diagnostic tests, are unjustified, The Philadelphia Inquirer reports.

17 Jan 2010

Democratic leaders debate health reform at the White House

President Obama was meeting Wednesday afternoon with House Speaker Nancy Pelosi, D-Calif., and Senate Majority Leader Harry Reid, D-Nev., in an effort to produce a compromise between House and Senate legislation, underscoring "their desire to strike a quick deal."

17 Jan 2010

As budgets squeeze, states seek more federal help with Medicaid responsibilities

New York Gov. David Paterson is trying to build a coalition of states to seek a "federal takeover of health care costs for the elderly poor who receive benefits under both Medicare and Medicaid," to help ease the burden on state budgets, The Associated Press reports.

17 Jan 2010

Unions, Democratic leaders and White House reach agreement on 'Cadillac' health insurance plans

Los Angeles Times: "The White House and labor leaders agreed Thursday on a formula to tax high-cost insurance plans, removing one of the last obstacles to President Obama's healthcare overhaul, officials said." Organized labor had staunchly opposed the proposed "Cadillac" tax, but as part of the agreement, "reached after an intense round of negotiations this week, union leaders dropped their opposition ... in exchange for concessions to limit its scope."

17 Jan 2010

Minnesota honored for covering tobacco cessation medications and counseling for its citizens

Minnesota is one of only six states that covers all recommended tobacco cessation medications and counseling for its citizens coved by Medicare, according to an annual "report card" issued today by the American Lung Association. Indiana, Massachusetts, Nevada, Oregon and Pennsylvania are the other states honored with a 'thumbs up,' although no state earned an "A" grade for cessation coverage this year.

13 Jan 2010

Era of rapid expansion in biomedical research funding began in 1990's ends

After a decade of remarkable growth, total annual funding for biomedical research in the U.S. has decelerated and may have even fallen when adjusted for inflation. That is the conclusion of a study today published in the Journal of the American Medical Association.

13 Jan 2010