Health Insurance News and Research

RSS

Massive Medicare fraud case highlights Miami's increased enforcement

Eight defendants were indicted in a massive Florida Medicare fraud case. The Associated Press reports: "It may be the center for Medicare fraud, but even Miami officials said Tuesday they were surprised by the breadth of a ring they say spanned five states, used 29 fake storefronts and attempted to steal $100 million from Medicare and Medicare Advantage.

25 Jun 2009

Baucus takes center stage as health reform deal maker

"As President Obama's effort to overhaul the health care system seems to hit one roadblock after another in Congress, he is counting on Senator Max Baucus [D-Mont.], a political shape-shifter and crafty deal maker who is not fully trusted by either party, to help him clinch his top domestic priority," the New York Times reports in a profile of the Senate Finance Committee leader.

25 Jun 2009

Business groups note faults in House Democrats' overhaul plan

House Democrats readying a health reform bill without a price tag or a budget analysis will hear from business interests today that their plan is irrevocably broken and that they need to start from scratch, CongressDaily reports.

25 Jun 2009

HHS Secretary presses lawmakers on health care

"Health and Human Services Secretary Kathleen Sebelius told a U.S. House panel Wednesday that the Obama administration is willing to negotiate how health overhaul legislation is paid for, but not whether it is paid for," according to the Dow Jones Newswires.

25 Jun 2009

Finance Committee continues work on health overhaul, benefits tax advances in negotiations

The Senate Health, Education, Labor and Pensions Committee continued its mark up of health care reform legislation while the Senate Finance Committee "was hunkered down in negotiations on its version, with Finance Committee Chairman Max Baucus (D-Mont.) shuttling between closed-door meetings to try to reach a consensus," Roll Call reports.

25 Jun 2009

Dental health advocates want to sink teeth into health care reform

The Washington Post reports many oral health professionals worry that dental issues have "a tenuous place at best in the national debate" regarding an overhaul of the health care system. Still, they emphasize that dental health is an integral part of health care and note the special burden untreated dental issues have on poor children.

23 Jun 2009

Details remain unclear on Medicare drug deal

The White House formally announced the drug manufacturers' plan to lower Medicare drug prices Monday. While details still remain unclear, it appears drug companies may benefit from the deal.

23 Jun 2009

Firms tweak benefit plans in District of Columbia and Baltimore area

The Washington Post reports that "More Washington- and Baltimore-area employers are shifting health-insurance costs to workers, offering high-deductible health plans and imposing restrictions on prescription-drug coverage to save money in the recession, according to a new survey by area human resources managers to be released today. But to keep good workers from jumping ship, according to the survey, more employers are offsetting the restrictions by beefing up other perks -- giving staff more flexibility in taking time off and working from home, and extending benefits to domestic partners."

23 Jun 2009

Some Governors oppose Medicaid expansion proposals

"Some governors are pushing to scale back or kill proposals to expand Medicaid to provide health-care coverage to the uninsured, raising a new challenge to President Barack Obama's effort to overhaul the system," The Wall Street Journal reports.

23 Jun 2009

House Democrats to open hearings amid controversy over finances, public plan

"House Democrats are pushing forward with a partisan health care bill even as a key Senate Democrat labors to achieve an elusive bipartisan compromise on President Barack Obama's top legislative priority," The Associated Press reports.

23 Jun 2009

Senators debate public plan, co-ops for health overhaul

Senators crafting health reform legislation are debating a number of issues ahead of the revelation of proposal including the inclusion of a cooperative as an alternative to a government-run public plan, Politico reports.

23 Jun 2009

Insurance industry groups lay down reform marker

America's Health Insurance Plans and the Blue Cross Blue Shield Association, the two largest insurance industry groups, released a letter today that "laid down a marker on health care, warning in stark terms that a proposed government insurance plan would dismantle the employer coverage Americans have relied on for a half century and overtake the system," the Associated Press reports.

23 Jun 2009

Obama 'very optimistic' about health care overhaul, public plan 'makes sense'

President Barack Obama today at a news conference said a public plan is "an important tool to discipline insurance companies," but he didn't answer a question on whether he would veto a bill that did not include a public plan option, saying it was too early in the process to "draw lines in the sand," Reuters reports.

23 Jun 2009

Lawmakers address nurse and primary care physician shortages

A pending House bill would aim to address the nursing shortage by allowing "20,000 additional nurses to enter the U.S. each year for the next three years as a temporary measure to fill the gap," Business Week reports.

22 Jun 2009

Parents struggle with costs of their children's autism care

The total cost for treating a child with autism can reach $5 million, but insurance companies rarely cover autism therapy and few states mandate it. CBS News reports that "an estimated one in every 150 children in America has autism and the number of reported cases is growing" while "parents are increasingly demanding that insurance companies cover the newest treatment."

22 Jun 2009

Adverts highlight different aspects of health reform debate

A coalition of union and liberal groups began running television ads designed to get "the attention of one particular television viewer: Sen. Kay Hagan," The Greensboro (N.C.) News & Record reports.

22 Jun 2009

As Obama wades into health debate, tough choices await

"As the legislative debate over health care intensifies on Capitol Hill, there is growing clamor for President Obama to step in," the Washington Post reports.

22 Jun 2009

House Democrats push their health reform plan

House Democrats' health care bill draft released Friday is likely to survive relatively intact, "including a robust new Medicare-like public health plan that would compete with private companies in a national health insurance exchange," Roll Call reports.

22 Jun 2009

Insurers revoke plans to avoid paying for patients with high costs

A Congressional committee recently turned its attention to rescission, a practice where insurers retroactively revoke plans to avoid paying high costs. NPR reports: "According to a new report by congressional investigators, an insurance company practice of retroactively canceling health insurance is fairly common, and it saves insurers a lot of money.

22 Jun 2009

Sticker shock threatens to stall health care overhaul

"No one can figure out a politically acceptable way to pay for an overhaul of America's health care system, and until someone does, the effort is stalled. Maybe indefinitely," McClatchy reports. Michael Tanner, a "health care analyst" at the Cato Institute, says "it's quite feasible that the whole thing could crash and burn because of sticker shock."

22 Jun 2009