Unnecessary Hospital Admissions Targeted By New Payment Plan
Maryland hospitals and regulators are teaming up in an experimental payment plan to reduce unnecessary admissions while improving patient care.
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Texas Town
McAllen, Tex. spends more on Medicare patients than almost any other part of the country. But a new study contradicts the assumption that McAllen, Texas doctors over-treat everyone.
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Health Law’s Aim: Multiple Vaccines For More People
Adults need vaccines to protect against serious diseases, including shingles, pneumonia and hepatitis. The health reform law, with its emphasis on prevention, will expand coverage to improve vaccination rates, currently too low.
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Opinion Column
Health Care Lawsuits and Party-Line Judging
A ruling is expected this month from a Republican-appointed judge on the heart of the new health law – the mandate to buy insurance. It could illustrate the growing prevalence of party-line judging in this country.
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OPM Health Database Stirs Privacy Concerns
The project, designed to aid research into costs and trends, will collect claims filed by federal workers and others. OPM says privacy will be paramount, but some advocates are worried.
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Docs Not Dropping Medicare Patients Just Yet
A new survey from the Medicare Payment Advisory Commission (MedPAC) finds doctors aren’t actually following through on threats to drop seniors from their patient rosters – at least not yet.
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Justice Increases Efforts To Enforce Olmstead Ruling
Thomas Perez, assistant attorney general for civil rights at the U.S. Department of Justice, is making a “paradigm shift” in his division to focus more on care-at-home cases.
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Health Care Lawsuits and Party-Line Judging
A ruling is expected this month from a Republican-appointed judge on the heart of the new health law – the mandate to buy insurance. It could illustrate the growing prevalence of party-line judging in this country.
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Health Insurance Brokers Fight For Their Future
The new health law appears to threaten the future of many health insurance brokers, but they say the service they provide is worth the money.
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Big Questions About Insurance Plans With Limited Coverage
One of the bigger debates raging in health policy circles at the moment is about the value of “mini-med” plans.
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Text: Fiscal Commission’s Recommendations On Health Care Spending
The National Commission on Fiscal Responsibility and Reform released its long-awaited report on recommendations to cope with the national debt, now and into the future, “The Moment of Truth.” Seven of the 66 pages concerned health care spending, especially focusing on Medicare.
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Opinion Column
The Senate’s Object Lesson For GOP Health Law Repeal Hopes
The upper chamber’s recent consideration of legislation to repeal a small revenue-raising provision within the health overhaul offers insights into why a more sweeping repeal effort would be a very difficult task.
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Drug Lobby’s Tax Filings Reveal Health Debate Role
New documents reveal that the drug industry’s chief lobbyists, PhRMA, raised and spent at least $101.2 million in 2009 during the contentious health care debate.
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Medicare Key To Conquering Deficit Dilemma
Controlling Medicare costs is key to conquering the deficit, experts say, but there are few cost-containment measures that are politically viable.
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Private Providers In Texas Fight Back Over Service Change
For years, the state paid private providers who care for people with disabilities to handle their clients’ case management. But an 11th-hour change inserted into the budget last session stripped them of that responsibility, giving it instead to quasi-governmental Mental Retardation Authorities – and potentially creating a conflict of interest.
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Health On The Hill Transcript: Congress Passes One-Month Medicare ‘Doc Fix’
As Congress resumed its lame duck session, the House passed a one-month extension of a Medicare physician payment “fix” that would stop scheduled cuts for another month. Meanwhile, the Senate rejected a repeal of the so-called “1099” tax reporting provision in the health law that requires that businesses file a form for any purchase of goods or services worth more than $600.
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Video: Congress Passes One-Month Medicare ‘Doc Fix’
As Congress resumed its lame duck session, the House passed a one-month extension of a Medicare physician payment “fix” that would stop scheduled cuts for another month. Meanwhile, the Senate rejected a repeal of the so-called “1099” tax reporting provision in the health law that requires that businesses file a form for any purchase of goods or services worth more than $600.
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In New Insurance Model, Costs Are Based On Value Of The Treatment
More employers are moving toward coverage in which consumers’ out-of-pocket medical costs are based on the value of a medical service to their health, rather than its price.
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Deficit Reduction Plans Would Squeeze Medicare
Spurred by growing concerns about the federal deficit, plans to curb Medicare spending are proliferating – setting the stage for potentially bruising battles between seniors’ advocates and budget cutters.
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In Emergency Rooms, It’s Getting Tougher To Say ‘No’ To CT Scans
A new study shows that the emergency department use of computerized tomography scans has increased nearly six-fold since 1995 and shows no sign of tapering off.
