Government: Page 222
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Healthcare fraud prosecutions on the rise
Healthcare fraud prosecutions rose almost 8% over the past five years.
By Anne Zieger • Jan. 16, 2014 -
AHA: RAC appeals process 'broken'
The association says that the $1B in claims yet unpaid, as well as the RAC appeals process, are causing members hardship.
By Anne Zieger • Jan. 16, 2014 -
ACA attracting modest levels of young people
An adverse enrollee mix could undermine the underpinnings of the ACA.
By Anne Zieger • Jan. 14, 2014 -
Deep Dive
Five healthcare meltdowns we don't want to see in 2014
2014 could come to be known as the year that big implosions happened.
By Anne Zieger • Jan. 14, 2014 -
Maryland sets hospital cost caps for next five years
The new plan will set a cap of 3.58% on hospital spending across the state.
By Anne Zieger • Jan. 13, 2014 -
Will accountable care bring back old mistakes?
Accountable care models may not be any better than what we already have on hand, the authors write.
By Anne Zieger • Jan. 8, 2014 -
Bill would require HIXs to notify data breach victims promptly
The proposed bill would require HHS to inform consumers quickly about any breach experienced by the federal and state-operated health insurance exchanges.
By Anne Zieger • Jan. 7, 2014 -
FDA wants to cull EMR data to check drug safety
The FDA hopes to eventually create a de-identified database of records on about 10 million U.S. residents.
By Anne Zieger • Jan. 7, 2014 -
CMS rolls out advanced bundled payment approach
The program offers four payment models, including one flat DRG payment model for inpatient stays.
By Anne Zieger • Jan. 6, 2014 -
Texas considers boosting requirements for ACA 'navigators'
The new rules would require 40 additional hours of training for ACA healthcare "navigators" and cost more than $800 per year.
By Anne Zieger • Jan. 6, 2014 -
Proposed rule would ease HIPAA to allow more mental health reporting in gun background checks
The new rule comes in the wake of President Obama's gun-control plan, which was issued after the shootings at Sandy Hill elementary school in Newtown, Conn. last December.
By Anne Zieger • Jan. 6, 2014 -
UnitedHealth may defy judge, slash Medicare Advantage network
The state of Connecticut and a U.S. Sen. have filed a brief supporting the court's decision to block UnitedHealthcare from cutting back its Medicare Advantage physician network
By Anne Zieger • Jan. 2, 2014 -
Foreign drug importation gaining steam
A new bill making its way through Congress would allow consumers to buy prescription drugs from a range of companies where drug safety standards are high.
By Anne Zieger • Jan. 1, 2014 -
Justice delays ACA's birth control requirement
The White House has until Friday morning to respond to the block on mandated contraceptive coverage.
By Anne Zieger • Jan. 1, 2014 -
California acts to enforce ban on ED balance billing
California is the 45th state to ban in-network balance billing.
By Anne Zieger • Dec. 31, 2013 -
Health reform exchange enrollment climbs to over 1.1M
The HealthCare.gov site saw a surge of 850,000 visits after the administration offered a one-day extension for people to sign up for coverage effective January 1.
By Anne Zieger • Dec. 30, 2013 -
Prime Healthcare enters Rhode Island under cloud
Rhode Island regulators admit that Prime has faced controversies, but agreed to permit its planned acquisition, as long as it met a long list of requirements.
By Anne Zieger • Dec. 27, 2013 -
Mass. spending per person on health care highest in US
Dive Brief: A new report on national health spending trends in 2013 has concluded that Massachusetts leads the nation in percentage of residents with health insurance, and that it also spends more on healthcare per person than in any other state in the US. According to the repor...
By Anne Zieger • Dec. 27, 2013 -
N.Y. judge exempts Catholic groups from ACA contraceptive coverage requirement
A New York judge has ruled that local Catholic organizations do not have provide employees with contraceptive coverage required under PPACA.
By Anne Zieger • Dec. 17, 2013 -
Mass. to review Partners HealthCare deal
A state commission argues that the deal raises competitive concerns about the two organizations' negotiating power with health insurers.
By Anne Zieger • Dec. 16, 2013 -
States do poorly with doctor quality reports
Washington state and Minnesota were the only states getting As on their physician quality reporting efforts.
By Anne Zieger • Dec. 10, 2013 -
HIPAA slows use of big data to enhance care
Despite growth in electronic health information, most data resides in silos, making it hard to use for quality improvement and cost savings.
By Anne Zieger • Dec. 6, 2013 -
OIG says OCR not fully enforcing privacy provisions of HIPAA
The Office for Civil Rights, which enforces privacy provisions of HIPAA, isn't quite doing its job.
By Anne Zieger • Dec. 5, 2013 -
Moody's: Reform law delays could hurt insurers
New ACA fixes could have a negative effect on t he risk pool for insurers selling on health plans on the exchanges.
By Anne Zieger • Dec. 5, 2013 -
Groups ask HHS to include patient-generated data in MU Stage 3
Groups say patient-generated health data is the "next frontier" in medical management.
By Anne Zieger • Dec. 4, 2013
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