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Medicare fraud dragnet snares 91 nationwide

In its continued health care fraud crackdown, the Obama administration announced Wednesday that charges were filed against 91 people in eight cities. These people are accused of bilking Medicare out of an estimated $300 million.

9 Sep 2011

Viewpoints: Lessons from Massachusetts?; FTC and ACOs; Arizona partner benefits

The Massachusetts experience provides lessons for national health care reform. First, reform may accelerate the trend toward health care's being the dominant employment sector in the economy. ... our analysis supports physicians' concerns about the administrative burden of health care reforms ... Finally, rather than requiring greater numbers of physicians and nurses, reform may require larger numbers of people supporting the work of such health care professionals.

9 Sep 2011

First Edition: September 8, 2011

In today's headlines, reports from last night's GOP presidential debate, as well as explorations of what the future might hold for the 'Super Committee' and news developments related to physician payment issues.

8 Sep 2011

Sweating the details: Health reform supporters fret over HHS rules

Kaiser Health News staff writers Mary Agnes Carey and Marilyn Werber Serafini write: "Publicly, consumer and patient advocates continue to cheer wildly for last year's health care law. Behind the scenes, however, some worry that they are losing a few key battles to the insurance and business communities.

8 Sep 2011

Health law supporters press Obama administration

Advocates of the law seek a change to the subsidy provision and some fear that the administration is too eager to compromise with business.

8 Sep 2011

Experts to address crucial issues of pain management and disability health reform

Leading Australian and international medical experts will convene in Brisbane next week to address crucial areas of rehabilitation medicine, including health reform, barriers to rehabilitation healthcare services and pain management.

7 Sep 2011

First Edition: September 7, 2011

"Publicly, consumer and patient advocates continue to cheer wildly for last year's health care law. Behind the scenes, however, some worry that they are losing a few key battles to the insurance and business communities.

7 Sep 2011

President's tough tasks before election: Deficit plan, sell health reform

President Obama will be crafting his own deficit-reduction plan and will also shape an election strategy for the health law.

7 Sep 2011

At GOP presidential candidate forum, focus is on Romney and health reform

In a Labor Day warm-up for this week's presidential debate, a partial cast of Republican contenders argued Monday for turning back the clock on legislation passed at the federal level, starting with President Obama's health care law and going back nearly a century.

7 Sep 2011

Anthem proposes double-digit rate increase in Conn.; Mass. bill would cut payments to high-cost providers

Anthem Blue Cross and Blue Shield, Connecticut's largest health insurer and a favorite target of advocates for more stringent regulation of rate increases, is seeking to raise premiums by 12.9 percent next year for more than 45,000 individual-market customers, including some whose plans were the subject of a controversial request that got denied last year.

7 Sep 2011

New rules require insurers to justify rate increases over 10%

Federal rules mandate that companies explain the hikes and submit them to regulators. Also, HHS announced that association health plans must meet the same rate scrutiny as other types of insurance.

3 Sep 2011

Options for 'super committee' could include IPAB, Tricare, nothing at all

Rep. Phil Roe said Thursday that the deficit-cutting super committee should repeal one of the healthcare reform law's chief cost-control measures. Roe is a leading opponent of the Independent Payments Advisory Board (IPAB), a 15-member board with the power to cut Medicare payments almost unilaterally. .

3 Sep 2011

Businesses working hard to disgest health law changes

Health care reform has put some businesses that provide health insurance-related services into marketing and education overdrive. Health care benefits brokers, law firms and insurance carriers are among the chief entities digesting legislative rules to help employers track health insurance-related changes that impact costs.

3 Sep 2011

State roundup: Texas disability fight; rights of fetus asserted in Neb.

For Milla Powell, a 12-year-old from Austin with cerebral palsy, the little things make all the difference. Massage therapy to ease her tightened muscles. Recreational programs, in which therapists take her into the community to help her build her social skills. Music therapy to help Milla, who cannot speak, connect without words. But services like these are on the chopping block for thousands of Texans with disabilities - another casualty of the significant budget cuts that state lawmakers passed in May.

3 Sep 2011

Investments in EHRs could reap major benefits in better patient care, health outcomes

Research published today in the New England Journal of Medicine gives cause for optimism that federal investments in electronic health records (EHRs) could reap major benefits in better patient care and health outcomes.

2 Sep 2011

ALEC offers state legislators advice on the health law's repeal

The American Legislative Exchange Council, a controversial and somewhat shadowy national group that works to influence state legislators, has a manual for fighting the federal health reform law.

31 Aug 2011

Bracing for deficit panel battle between defense, health interests

Meanwhile, home health advocates are launching campaigns to ward off more Medicare payment cuts when Congress returns to Capitol Hill.

31 Aug 2011

GAO reviews impact of health law's medical-loss ratio provision

Also in today's health policy headlines, the Wall Street Journal reports that a new state-federal program will put steep health premium increases under the microscope and the Washington Post showcases a map detailing state-by-state progress on creating health exchanges.

31 Aug 2011

First Edition: August 30, 2011

Today's headlines include a report about a new federal and state program that will apply scrutiny to any health-premium increase of more than 10 percent.

30 Aug 2011

For NAIC, some signals suggest broker bill is losing traction

The Hill reports that a spokeswoman for the chairman of the NAIC's Professional Health Insurance Advisors Task Force said no major action on the issue was planned for the group's conference. In other news, MSNBC reports that, as insurance prices rise, options appear to diminish, creating questions about how much relief the health law will provide. Meanwhile, the Milwaukee Journal Sentinel explores health reform's winners and losers.

29 Aug 2011