Healthcare Should be a Business Strategy
There was a lot of enegy in the room during this afternoon’s session of the 28th ECFC Annual Meeting in Tysons Corner, VA outside Washington DC ... , Section 125 plans, health reimbursement arrangements, dependent care accounts, health savings ... Institute. Key takeaways: Healthcare should be a business strategy. Cost of prevention is less [more...]
Date: 2009-03-04 22:51:51
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OBAMA'S HEALTH CARE HEADACHE
What really drives health care spending in the United States? ... ; U.S. reimbursement rates were four times higher. Knee replacements were 90 percent more frequent ... want the freedom to prescribe. Open-ended insurance reimbursement encourages expensive medicine [more...]
Date: 2009-01-12 14:17:58
Carefirst Bluecross Blueshield Maryland Hash Out Universal Health Coverage
Maryland now has two universal health care plans to cover more than 800,000 uninsured residents ... t participate, a share of hospitals’ uncompensated care reimbursement, and money from the Maryland Health ... Wednesday morning a roughly $1.6 billion plan for extending health care benefits to all Marylanders [more...]
Date: 2009-03-04 16:58:25
Everyone but the docs - the Obama health reform strategy
There's plenty for everyone to not like in President Obama's health care reform plan - the one revealed late yesterday in a conference call with his ... that will be used to expand coverage. Sounds like a lot of money - but remember we're talking about health care ... reimbursement, reduced profits, increased fees - the Administration found every [more...]
Date: 2009-02-26 12:38:43
The View From Here: Now is the Time
The premise of President Obama’s speech before Congress last week was that despite the nation’s great economic problems, there is no reason not to invest in health care, education and other important causes. Indeed ... facing the health care industry. A lot of these issues, such as difficulty in getting reimbursed [more...]
Date: 2009-03-04 16:11:07
What’s on the Horizon for Healthcare in the US?
Just arrived at the Hilton McLean Tysons Corner where there is still a significant amount of snow on the ground as a result of the storm that ... reimbursement arrangements, dependent care accounts, health savings accounts and more. Like any ... some insight during a session entitled, “What’s on the Horizon for Healthcare in the US?” Invited [more...]
Date: 2009-03-04 17:11:52
Midwives Applaud House Introduction Of Medicare Equity Legislation - medicalnewstoday.com
Read original... The American College of Nurse‐Midwives (ACNM), the nation's oldest women's health organization, applauds Rep. Ed Towns (D‐NY) ... midwives and other licensed health care professionals within the Medicare program. "Providing ... of legislation. The Midwifery Care Access and Reimbursement Act will not only advance women's health [more...]
Date: 2009-02-21 04:01:00
Obama declares war on healthcare
President Barack Obama is planning a $634 billion "down payment toward what he calls a more efficient health care system ... reimbursements from insurance companies, Medicare, etc. now. The government takes a third of their money off the top. Let's not forget the huge amounts of money physicians must pay for mal-practice insurance [more...]
Date: 2009-02-28 03:44:05
Governor Paterson’s Executive Budget Reins in Unaffordable Medicaid Spending
Reforms Reimbursement Systems to Deliver Quality Health Care at an Affordable Cost Actions Provide Necessary Savings, While Investing in Primary and Preventative Care Governor David A. Paterson today announced that his Executive Budget includes a comprehensive $3 [more...]
Date: 2008-12-17 04:02:50
#72: Palin required rape victims to pay for their own rape kits.
No, she didn’t try to charge rape victims personally for rape kits. This is one of those complicated ones with a tiny hint of truth behind it ... the victim’s insurance for the rape kits too: (410 ILCS 70/7) Sec. 7. Charges and reimbursement ... and forensic services, hospital or health care professional or laboratory provides follow‑up healthcare [more...]
Date: 2008-09-23 17:11:53
The Lessons of Medicaid vs. Medicare
Health care reimbursement is so complicated that not many really understand it. Many people do not understand the differences between Medicare ( ... Journal, Scott Gottlieb of AEI excoriates Medicaid’s wacky reimbursement strategy, which seemingly [more...]
Date: 2009-01-08 22:44:23
WHAT SHOULD BE DONE ABOUT HEALTH CARE?
America needs to undo much of what the government has already done to health care -- to go back to the free market, says Jane Orient, ... for mutually agreeable fees. Medicare can compute its reimbursement by any mechanism it chooses ... with before-tax money. Source: Jane Orient, "Stay Healthy: Government Healthcare May Be Coming [more...]
Date: 2009-01-16 13:26:56
Payment cut would worsen health-care ills
Recently, an article in USA Today suggested further reducing reimbursement to physicians and hospitals to curb the increasing costs of providing health care in America. Read the whole article by clicking below: Payment Cut [more...]
Date: 2009-03-04 22:24:39
The Ingenix settlement - you wanted details...
The phone and email has been buzzing today. So has the blog-o-sphere, at least among those bloggers who follow this. Both of us ... to reimbursement for out-of-network medical services. The agreement resolves class action litigation filed on behalf of the American Medical Association (AMA), health plan members, health care providers and state [more...]
Date: 2009-01-15 22:33:55
Payment cut would worsen health-care ills
Recently, an article in USA Today suggested further reducing reimbursement to physicians and hospitals to curb the increasing costs of providing health care in America. Read the whole article by clicking below: Payment Cut [more...]
Date: 2009-03-04 22:31:01
Payment cut would worsen health-care ills
Recently, an article in USA Today suggested further reducing reimbursement to physicians and hospitals to curb the increasing costs of providing health care in America. Read the whole article by clicking below: Payment Cut [more...]
Date: 2009-03-04 22:20:15
How specialists view universal health care
A survey of anesthesiologists is revealing in how they view potential upcoming health reform: - "Universal healthcare will mean Medicaid reimbursement rates. All physician incomes will decline substantially and quality of patient care will erode due to inability to maintain practice costs [more...]
Date: 2008-10-22 19:00:01
The Arcane Math of State Stimulus
Toward the end of a profile of Rahm Emanuel this week, ... a small change in math can have a big impact on public policy and health-care priorities. health ... the percentage. This government Web site spells out the formula, which sets reimbursement based [more...]
Date: 2009-02-26 11:05:00
Qui Tam Slam: NY Drugmaker Sued Over Alleged Kickback Scheme
Here’s an allegation that might make you reach for your antidepressants: ... behavior caused false claims to be submitted to federal health-care programs for reimbursement [more...]
Date: 2009-02-26 14:42:56
Why Broadband Matters – a Full Senate Committee Meeting
Today’s one of those, working-on-3-computers-at-once days ... that compensates people for the effort. Medicare has to reimburse costs and compensate health care [more...]
Date: 2008-09-16 20:58:12
Affording To Stay Healthy In An Unhealthy Economy
A paramount topic at the moment is value in health care: What should we pay for and how much? ... hospital and physician reimbursement; and adopting global payment approaches such as capitation ... and Altman say that payment reform cannot succeed without Medicare as a major player, and they suggest [more...]
Date: 2009-01-28 21:30:10
The Slashing May Slow
The last we time we were the bearer of bad news from a Watson Wyatt survey, 23% of companies were planning more layoffs ... percentage that employees pay for health care premiums 22% 20% 21% 24% 17 ... % 19% Reduce/eliminate other employee programs (tuition reimbursement, subsidized [more...]
Date: 2009-02-25 22:31:16
What Is Saving You Worth? Holland Tackles Putting A Value On Life And Health Care
Is your life worth more than $130,000? In Holland, it isn't. The Council for Public Health and Healthcare (RVZ) recently advised that only those treatments which cost less than €80,000 to keep a patient alive in good health for a year longer should be eligible for reimbursement. Read More... [more...]
Date: 2008-09-22 05:00:00
Debating Health-Care
Sally Pipes: Another common argument for more government insurance is that the uninsured shift costs to private payers when they avail ... ("Key Issues in Analyzing Major Health Insurance Proposals, " December 2008) is clear on one issue ... from the government programs Medicare and Medicaid, which reimburse providers at rates roughly 20 [more...]
Date: 2009-03-06 12:34:05
Missouri Gets $223 Million in Stimulus Money
Those stimulus dollars have begun a'flowin. The state of Missouri received $223 million dollars Thursday to help shore up Medicaid. The first payment was an enhanced reimbursement for expenditures made from October through February for the government-run health care program for the poor. Governor Jay Nixon said [more...]
Date: 2009-02-27 02:53:00
Social Change Still Valuable
Julia Moulden has uncovered a job that’s still making a good living - in more ways than one ... to health care, education, and clean water. So when Julia says “a good living”, I don’t think she’s necessarily talking about reimbursement or great salaries, even though some people do make a good [more...]
Date: 2009-03-03 13:25:02
WHAT MEDICAID TELLS US ABOUT GOVERNMENT HEALTH CARE
Medicaid provides coverage to poor and disabled Americans, ... at the Centers for Medicare and Medicaid Services. Reimbursement rates are so low, and billing ... , Medicaid is replete with paperwork, regulations and rejections that make the program hard to navigate [more...]
Date: 2009-01-09 13:26:58
Movement on Health Care - Thanks To The Courts and State Agencies
At this point the judiciary is pretty much the only government entity in this state I have a modicum of belief in; ... Kathleen Billingsley, director of the health department's Center for Healthcare Quality. "The entire ... judge has ordered a temporary halt in the state's 10 percent reduction in Medi-Cal reimbursement rates [more...]
Date: 2008-08-20 16:01:07
Cigna Settles With Cuomo Over Out-of-Network Payments
eob Cigna is the latest big health insurer to settle with New York AG Andrew Cuomo over how much it pays for care patients get outside of its ... and contribute funds, Cuomo said in a news release. Aetna agreed to pay $20 million last month ... BlueShield, accusing the health plan of “manipulating reimbursement rates for out-of-network services.” [more...]
Date: 2009-02-17 10:16:00
FMAPped
While it won't solve the state's budget deficit by itself, ... in Medicaid -- the federal health insurance program for the poor -- along with foster care and adoption ... a $320 million increase in federal Medicaid reimbursement payments will likely be an important [more...]
Date: 2009-03-03 05:40:40
How Mass. General and Brigham and Women's are driving up your health-care costs
Paul Levy, CEO at Partners HealthCare frenemy Beth Israel Deaconess, ... in Foxboro than in Norwood. Does this difference in reimbursement rates reflect a documented difference [more...]
Date: 2009-01-26 15:04:10
How will "Octuplet Mom" support her brood? You and me, baby
Filed under: Budgets, Kids and Money, Ripoffs and Scams, Career, Health, Fraud, ... that produced her octuplets, her hospital has already begun requesting reimbursement from Medi-Cal ... that his treatment may have violated the standard of care [more...]
Date: 2009-02-13 13:00:00
E-Mart Nails It
February 25th, 2009At ObWi:The problem with the modern GOP is that it takes an absolutist position on the role of government in terms of providing ... - in which free market incentives lead to less than ideal outcomes in terms of providing health care ... approaches work best in different contexts: private sector in most instances, public sector for health [more...]
Date: 2009-02-25 22:36:47
A tragic casualty
Many of us have been reading in the medical journals for years Japanese doctors discussing the growing financial crisis in their country’s medical system. But we never realized how serious things had become until this week. It is unimaginable what this poor man and those paramedics must have been going through in the back of that ambulance.. [more...]
Date: 2009-02-06 19:52:00
Crist budget, health agency merger draw fire
As members of the Governor’s Office of Policy & Budget presented Gov Charlie Crist ’s proposed budget to legislative spending committees Thursday, ... parts of the budget. Legislators worried about a plan to use stimulus money to increase Medicaid reimbursement rates for physicians who specialize in dermatology, neurology, neurosurgery and [more...]
Date: 2009-03-05 22:39:41
Kevin Drum Is Right About Problem, Wrong About Reasons
Kevin Drum , quoting Karen Tumalty , is correct in his assessment that the uninsured are being screwed but is incorrect in his assessment of ... his assessment in the second also picked up by Andrew Sullivan ): “A paradox of medical costs is that people ... medical system, and all of us have our own favorite things to hate. This is mine: the fact [more...]
Date: 2009-03-06 01:48:50
Lies, Damn Lies, and ‘Integrative Medicine’
Last week, two events took place in Washington that ought to inspire trepidation in the minds of all who value ethical, rational, ... Integrative Care: A Pathway to a Healthier Nation , previously discussed by my fellow bloggers ... and here ); the other was the “ Summit on Integrative Medicine and the Health of the Public “ convened [more...]
Date: 2009-03-06 06:00:57
Another Health Care Myth Punctured
If you've spent any time out on the hustings debating health care issues, you've heard the familiar argument -- employed by industry lobbyists, single-payer advocates, and everyone in-between -- that a big driver of health-care inflation ... tend to spend less on health care than the U.S. does? It's a complex question, but among many other [more...]
Date: 2009-02-18 20:24:46
Making Our Case: Why Delaware's Disabled Should Be Spared In Budget Cuts
This week, Delaware's Joint Finance Committee is hearing testimony from health and social service organizations as it prepares for difficult budget ... members provide job training, residential care, counseling and support services to 50,000 individuals ... , continue to invest in the community-based care that our members provide. Services to people in [more...]
Date: 2009-03-04 20:41:32
The greatest halth care IT generation
By John Halamka Halamka In Washington, Healthcare Information Technology policy planning is accelerating at a pace that is faster than at any time in history (at least my 30 years in healthcare IT). Over the past few days, the House Ways ... and implementation of a qualified EHR platform (imagine an open source software as a service system [more...]
Date: 2009-01-22 20:23:26
CBO Director On Medical Research: ‘Information Alone Is Not Enough, It’s Acting On The Information’
Today, during a Senate Finance Committee hearing on the costs of reforming the health care system , Sen. Ben Nelson (D-FL) ... the information,” Elmendorf stressed. The separate question is how will doctors and hospitals respond to this information and what incentives are “provided for them.” “The challenge is that information alone [more...]
Date: 2009-02-25 19:29:27
OMB in the Health-Care Driver's Seat, Cont.
Over at Politico, Ben Smith has written an interesting and revealing profile of the new Office of Management and Budget (OMB) ... Medicare and Medicaid payment rules. Far too often, care is delivered to patients in highly inefficient ... payment systems in Medicare and Medicaid. If we have learned anything it should be that reliance [more...]
Date: 2009-02-20 15:21:30
The Hard Part
So Obama has proposed a national health insurance plan which would be, ostensibly, more or less universal. Great! ... will release the blueprint for a budget with will make a "down payment" on financing his health care ... Let's declare victory and go home! What ? We have to pay for it? I thought it was supposed [more...]
Date: 2009-02-26 02:08:00
Will COBRA Changes Take a Bite Out of Small Business?
The economic stimulus package passed last month contains a provision intended to help individuals who’ve lost their jobs ... to COBRA—employees who are let go who were eligible for your health care benefits can choose ... these links: http://www.kcsmallbiz.com/march-2009/health-matters-health-care-coverage-options [more...]
Date: 2009-03-05 17:00:30
From Rural Chief to Vaccines: The Week’s Round Up
Satsop Schoolhouse I seem to have collected a pile of scraps of paper this week for intended blog posts, ... follow up, and even software that simulates a nurse giving discharge instructions. As care becomes ... as the Health Resources Service Administrator at the Department of Health and Human Services. A nurse [more...]
Date: 2009-02-27 13:44:10
Obama health agenda takes shape
Obama health agenda takes shape Posted by Dana Blankenhorn @ 7:46 am Categories: Aging, Finance, General, Government, Hospital Equipment, ... , Healthcare, Vertical Industries, Benefits, Enterprise Software, Software, Human Resources Eat ... will be cutting out the reimbursement advantages of private Medicare Advantage plans, created under the Bush [more...]
Date: 2009-02-26 15:46:08
Unpacking ARRA
“The world changed yesterday at 1 pm Mountain time," Steve Lieber, President of the Health Information Management Systems Society (HIMSS), told over 1,500 attendees of a webinar on February 18. These new times, Lieber said, "will require our vendor community to react a little bit differently and change business practices [more...]
Date: 2009-02-20 13:49:00
Entitlement Reform Is Health Care Reform
Ezra Klein sums up the theme of today’s White House Fiscal Summit: “Fiscal responsibility, in other words, ... the eligibility age, or increase the amount beneficiares pay for services. But blaming Medicare ... Indeed, for decades, so-called budget hawks have argued that growing Medicare spending [more...]
Date: 2009-02-23 19:35:58
Two More Large Insurers Agree To Ditch Faulty Database
Chalk up two more names to the growing list of insurance companies who have agreed to stop using a flawed insurance-industry database to calculate ... for treatment outside their health insurance plans while shorting physicians for out-of-network treatment ... how much patients pay for out-of-network care. Capital District Physicians’ Health Plan [more...]
Date: 2009-03-05 23:37:49
DOCTOR-OWNED HOSPITALS AT RISK
North Texas physicians are bracing for the possibility that an early victory for the Obama administration to reauthorize funding for the State Children's Health Insurance Program (SCHIP) - which is designed to expand health care coverage ... to coast, Texas has the majority of the hospitals owned under this kind of arrangement:Nationwide [more...]
Date: 2009-01-28 12:42:55
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