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Michigan opts not to appeal feds' MLR rule

The state was one of 13 seeking an exemption from the health law's medical-loss ratio requirement that insurance companies spend at least 80 percent of premiums on medical care. Others, however, get a 30-day extension. Also in the news, the Department of Health and Human Services named 73 advisers to work with the Center for Medicare and Medicaid Innovation.

5 Jan 2012

First Edition: January 4, 2012

In today's headlines, Romney wins a historically close contest in Iowa caucuses and Wall Street Journal readers favor televising the Supreme Court arguments regarding the health law.

4 Jan 2012

State roundup: Texas health assistance program closing; Florida's dangerous assisted living facilities

A reduction in prescription drug coverage under last year's state budget cuts means 292,000 New Yorkers will now be paying more at the pharmacy.

4 Jan 2012

Viewpoints: Giving states responsibility for 'essential benefits'; The cost of proton beam treatment; Health spending in 2012

The Obama administration surprised supporters and critics when it decided to let states define the "essential health benefits" that must be provided to their citizens under health care reform. ... Federal health officials will need to monitor developments during the transition period to make sure consumers and employers can easily compare the benefit packages offered by private insurers.

3 Jan 2012

First Edition: January 3, 2012

In today's headlines, reports that New York seniors are experiencing reduced prescription coverage and more California patients are being added to the health insurance rolls.

3 Jan 2012

Harkin blasts South Carolina over exchange grant

The chairman of the Senate HELP Committee wants the HHS inspector general to investigate whether a $1 million federal grant was misused.

23 Dec 2011

Viewpoints: Republicans' 'gift' to Obama; Essential benefits rule a 'lump of coal'

One photo snapped Wednesday on Capitol Hill captured the essence of Congress in 2011. It showed a group of senior House Republicans sitting on one side of a long table, waiting for their Senate counterparts to show up for a negotiating session the House had demanded. ... What viewers should really have seen in the photo was the Republican leadership team whose miscalculations may soon cause payroll taxes to go up - and unemployment benefits to be truncated, and payment rates to Medicare doctors slashed. That's on the verge of happening.

23 Dec 2011

Romney, Obama on the attack

GOP presidential hopeful Mitt Romney used a TV appearance to take on rival candidate Newt Gingrich regarding a range of policy and political issues. Meanwhile, aides to President Barack Obama blasted Romney for shying away from the similarities between Massachusetts' health reforms and the 2010 health law. Negative ads also flood the Iowa airwaves.

22 Dec 2011

Viewpoints: HHS punts on essential benefits; A doctor's view of Medicare

The health care reform law passed last year requires insurers to offer, at a minimum, a set of "essential" benefits to individuals and small groups. ... On Friday, however, the Department of Health and Human Services put out a bulletin proposing to let each state come up with its own definition.

22 Dec 2011

Calif. gets $118 million for high risk pool; Mo. legislator urges suspension of health exchange plans

The federal funds will help California provide coverage to residents with medical problems. In Missouri, a state senator suggests that officials not make any more plans on the state health exchange until the Supreme Court rules on the legality of the federal health law.

22 Dec 2011

High court sets March dates for health law arguments

March 27 will be the day for two hours of arguments over the provision, which starting in 2014 will require most Americans to carry health insurance or pay a penalty. The high court is expected to announce its decision by the end of June.

21 Dec 2011

What 2012 holds for state reform efforts, health law implementation

Vermont, Oregon and Georgia are considering what the new year will bring for their efforts to implement health reforms, including formation of insurance exchanges. In California, the state's pool of money for the pre-existing health condition plan is getting a new infusion of funds.

21 Dec 2011

HHS denies Michigan's health law waiver request

The Department of Health and Human Services on Monday denied a request from Michigan to waive the health law's limits on insurer profits and administrative costs. Michigan becomes the second state to have its request denied following a denial of Florida's waiver request earlier this month.

21 Dec 2011

Viewpoints: If not the health law, then what?; Shifting Medicare costs isn't enough

When President Barack Obama's health care reform was making its way through Congress, Republicans and other opponents registered plenty of criticisms: It was too generous, too inflexible and too centralized. But such concerns were brushed aside in the push to get a bill passed. Today, it's harder to ignore those flaws. Implementation of the program has brought tougher challenges than the administration led Americans to expect. So it has been obliged to make some major concessions to reality.

21 Dec 2011

Even as it faces attack, health law implementation — and challenges — continue

The Hill and Reuters report on the health law's numerous 2012 battle fronts - starting with the Supreme Court's review of the law and moving toward the November elections. Meanwhile, however, other news outlets report on continuing implementation of the measure, including the creation of a federal health exchange and defense of its prevention fund.

20 Dec 2011

Obama administration avoids political backlash by allowing states flexibility on essential benefits

By allowing states the flexibility to make key decisions, the administration avoided a "political hot potato" regarding essential benefits - the medical benefits insurers must cover under the U.S. health care.

20 Dec 2011

Research roundup: Insurance coverage in the Great Recession; PCIP vs. CHIP

The researchers how physicians examined claims of lower back back pain and note that part of the "rising economic cost of this epidemic is the burgeoning use of indiscriminate imaging," specifically MRIs. Researchers divided patients into two groups and "the treating physician in group 1 patients was blinded to the MRI results, while the physician for group 2 patients decided on treatment after reviewing the MRI findings."

17 Dec 2011

Viewpoints: Fascination with Wyden, Ryan plan; Need for school nurses; Pa. abortion bill controversy

The new Wyden-Ryan Medicare framework is the most fascinating policy and political maneuver of the year. Let me try to explain why.

16 Dec 2011

Wyden and Ryan join forces on new Medicare overhaul plan

The plan, which is being advanced by Sen. Ron Wyden, D-Ore., and Rep. Paul Ryan, R-Wis., involves a framework that would offer traditional, government-run Medicare as an option for future retirees along with a variety of private plans. They are billing their approach as a means to prevent Medicare spending from swamping the federal budget. Meanwhile, early analyses indicate it could potentially create higher out-of-pocket costs for Medicare beneficiaries.

16 Dec 2011

Health law implementation efforts drawing praise from some critics

The LA Times reports that the Obama administration is taking steps to ease some of the requirements of the health law in an effort to "prevent further backlash." Also in the news, the latest on the essential benefits rule and more on the early retiree program.

16 Dec 2011

Health Reform News and Research

Michigan opts not to appeal feds' MLR rule

First Edition: January 4, 2012

State roundup: Texas health assistance program closing; Florida's dangerous assisted living facilities

Viewpoints: Giving states responsibility for 'essential benefits'; The cost of proton beam treatment; Health spending in 2012

First Edition: January 3, 2012

Harkin blasts South Carolina over exchange grant

Viewpoints: Republicans' 'gift' to Obama; Essential benefits rule a 'lump of coal'

Romney, Obama on the attack

Viewpoints: HHS punts on essential benefits; A doctor's view of Medicare

Calif. gets $118 million for high risk pool; Mo. legislator urges suspension of health exchange plans

High court sets March dates for health law arguments

What 2012 holds for state reform efforts, health law implementation

HHS denies Michigan's health law waiver request

Viewpoints: If not the health law, then what?; Shifting Medicare costs isn't enough

Even as it faces attack, health law implementation — and challenges — continue

Obama administration avoids political backlash by allowing states flexibility on essential benefits

Research roundup: Insurance coverage in the Great Recession; PCIP vs. CHIP

Viewpoints: Fascination with Wyden, Ryan plan; Need for school nurses; Pa. abortion bill controversy

Wyden and Ryan join forces on new Medicare overhaul plan

Health law implementation efforts drawing praise from some critics

Industry Focus eBook - Analytical Chemistry (2nd Edition) eBook

How ELRIG Is Helping Mid-Career Scientists Navigate Leadership, Career Change and Redundancy

The role of UV-Vis in biopharma QC

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