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How states will shape health reform American Medical News Share    
The bill was passed and signed into law in Washington, but much of health system reform, particularly where it affects health insurance, is taking shape in places such as Sacramento, Calif., Harrisburg, Pa., and Providence, R.I. -- state capitals. Most often, pundits and politicians talk about the Patient Protection and Affordable Care Act as if it is a blessing or a curse from the federal government. But especially when it comes to health insurance regulation, state legislators and regulators hold much of the power to enforce or ignore reform. More
GOP govs: Let states decide Medicaid spending The Associated Press Share
The nation's Republican governors, seeking a voice in Congress' upcoming debt debate, pushed Tuesday for looser restrictions on how states spend money on health care for poor and disabled Americans. States, they argued, should be allowed to design their own Medicaid programs and operate them with a lump payment every year from the federal government, and then be held accountable for the results. Outdated or inappropriate federal guidelines now make it more burdensome and frustrating to provide a health care safety net that's one of the biggest expenses for cash-strapped states, the governors said. More Health care fraud prosecutions on pace to rise 85 percent USA Today Share
New government statistics show federal health care fraud prosecutions in the first eight months of 2011 are on pace to rise 85 percent over last year due in large part to ramped-up enforcement efforts under the Obama administration. The statistics, released by the non-partisan Transactional Records Access Clearinghouse, show 903 prosecutions so far this year. That's a 24 percent increase over the total for all of fiscal year 2010, when 731 people were prosecuted for health fraud through federal agencies across the country. Prosecutions have gone up 71 percent from five years ago, according to TRAC. More More details emerge on insurance tax credits and other reform standards American Medical News Share
The Department of Health and Human Services has released three proposed rules addressing the enrollment of an estimated 30 million Americans in Medicaid and private health insurance through health insurance exchanges beginning in 2014. The three rules — co-written by the Departments of Treasury and Labor — seek to implement a one-stop process to determine eligibility and enrollment for Medicaid and the Children's Health Insurance Program, and for tax credits to help purchase health insurance. More
Viewpoints: Controlling costs must be paramount in health care reform The Sacramento Bee Share
This is a critical time for the Affordable Care Act, the health care reform law passed by Congress last year. There is much at stake – for businesses, for consumers and for our economy. At the Bay Area Council, we believe the entire business community can and must play an active and vocal role in keeping cost control at the center of the health care reform bull's-eye. More Here come the 20-somethings American Medical News Share
Young adults are the first added to insurance rolls under health reform, but few know how the health system works. How do physicians manage these new patients? More MSHA submits pioneer ACO application HealthLeaders Media Share
Accountable care organizations have been a tough sell in the hospital community. Faced with a myriad of complaints about the complexities of the original program, officials at the Centers for Medicare & Medicaid Services introduced the Pioneer ACO. Touted as a way for organizations experienced in care coordination and risk management to more quickly cash in on shared savings, CMS has aggressively promoted the program to potential participants. More
Study: HIE cuts emergency department costs Health Data Management Share
A study of emergency department visits at 10 Milwaukee hospitals finds average savings of $29 per visit when the attending physician can access historical medical encounter information from a patient's insurer via a health information exchange. More Hospital management jobs at risk during reform uncertainty FierceHealthcare Share
As hospitals try to avoid eliminating services, many are trimming their staff to save funds. Not even management positions are safe these days. For instance, 117 mid-level management positions are being cut from Virginia-based Inova Health System, according to Kaiser Health News. Health system officials attribute the job cuts to the still sluggish economy and the unknown effects of health reform. Efforts to shrink the levels of bureaucracy between senior managers and patients also led Inova to eliminate the mid-level management positions. More |
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