Policy and Legislation

Stories on healthcare policy focus on subjects such as the financing and delivery of healthcare, quality of care, and access to care. Policy stories often deal with the federal, state and local institutions responsible for regulating the healthcare industry and setting reimbursement rates for providers.

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Medicare trust fund to be exhausted by 2017, report reveals
CMS releases final 2010 hospital inpatient payment rule
 

 
Price transparency is a touchy subject in healthcare, and experts are divided on how much value exposing prices has for consumers and how much impact it would have on the industry.
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Post date: May 23, 2013
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Medicaid coverage alone is no guarantee of improved health outcomes, but researchers found that expanding Medicaid in Oregon reduced depression and eliminated out-of-pocket costs for its low-income enrollees.
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Post date: May 21, 2013
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When President Barack Obama released his fiscal year 2014 budget proposal in April, John Lozier, executive director of the National Health Care for the Homeless Council (NHCHC), became immediately concerned that not enough is being done at the federal level to resolve the on-going homelessness epidemic.
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Post date: May 20, 2013
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After an 18-month wait, a was confirmed by the Senate as CMS administrator on Wednesday and was broadly hailed by nearly all corners of the industry.
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Post date: May 16, 2013
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Healthcare spending in the U.S. is out of control and part of the reason for the approaching train wreck is that decision makers place too much trust in people's ability to think rationally. At least that’s the conclusion of a recent analysis in Health Affairs. Part of the solution, according to the report, rests in a deeper understanding of behavioral economics.
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Post date: May 15, 2013
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As the GOP-controlled House of Representatives prepares again to vote this week on a repeal of the 2010 health law, some key Republican senators have seized on recent news developments to show their ire.
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Post date: May 15, 2013
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The federal government has uncovered a string of alleged Medicare fraud attempts totalling $223 million and involving 89 individuals in eight cities.
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Post date: May 15, 2013
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A new report examining the state of the skilled nursing industry finds that there have been steady quality improvements since 2003 but more can be done.
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Post date: May 14, 2013
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That sigh of relief you heard Monday was from hospital administrators in nearly two dozen states, including Florida and Texas.
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Post date: May 14, 2013
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Increasing healthcare cost sharing does little to reduce overall healthcare costs or make it more efficient, according to a report released Wednesday by the Economic Policy Institute. But shifting the burden to patients puts an excessive load on those who may need care the most and can least afford it.
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Post date: May 9, 2013
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In an effort to take the first steps toward a more transparent pricing structure in the U.S. healthcare market, the Center for Medicare & Medicaid Services yesterday published nationwide hospital charge data showing wide variations in how much Medicare pays for services in different markets.
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Post date: May 9, 2013
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The healthcare industry is on notice: Fraud recoveries in the healthcare sector are on the rise and whistle-blowers are the biggest weapon in the fight against fraud.
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Post date: May 8, 2013
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So just about everyone is pretty pumped about the White House announcement of its new open data policy.
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Post date: May 13, 2013
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Conventional wisdom is that cutting Medicare rates shifts the burden to the private sector, but an intriguing article in Health Affairs reaches a counterintuitive conclusion.
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Post date: May 9, 2013
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On April 10, 2013, the Centers for Medicare & Medicaid Services (CMS) and the Department of Health and Human Services Office of Inspector General (OIG) published parallel proposed rules revising, respectively, the Stark exception and Anti-Kickback safe harbor concerning electronic health record (EHR) items and services.
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Post date: May 7, 2013
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Every week, I get an email from the Maryland Health Connection --- the state run health insurance exchange.
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Post date: May 2, 2013
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It's hard for policy wonks, politicians or health plans to be viewed credibly when promoting health care cost containment. Discussion quickly turns to "rationing," and "death panels," which no one wants to be associated with, and as a result the federal government has done almost everything possible to make sure cost effectiveness and overall costs are ignored in policy making.
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Post date: April 29, 2013
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By a majority decision of 76%, a nine year renewal of a local property tax ensuring access to healthcare for the uninsured and underinsured was passed.
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Post date: April 25, 2013
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The Bipartisan Policy Center (BPC), Heritage Provider Network (HPN), and The Advisory Board Company have launched the Care Transformation Prize Series, a national contest to address the most daunting data problems US health care organizations face as they implement new delivery system and payment reforms.
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Post date: April 22, 2013
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By a majority decision of 76%, a nine year renewal of a local property tax ensuring access to healthcare for the uninsured or underinsured was passed.
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Post date: April 15, 2013
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As the dust settles from the Supreme Court's ruling on the constitutionality of the Affordable Care Act (ACA), the results of the presidential election and, more recently, the sequester cuts, acute care providers are now turning attention to the looming reimbursement cuts.
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Post date: April 15, 2013
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The Affordable Care Act (aka ObamaCare) requires health plans to spend at least 80 or 85 percent of premiums on medical expenses and quality improvement - 80 percent for small groups and individuals and 85 percent for large groups.
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Post date: April 5, 2013
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I think everyone believes that Texas Governor Rick Perry is sincere in his opposition to the Affordable Care Act (ACA aka ObamaCare). But this still doesn’t explain why he’s refusing the expansion of Medicaid that the law brings.
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Post date: April 4, 2013
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MedPAC has released its annual report to Congress on Medicare Payment Policy, including payment update recommendations for all the major Medicare FFS payment systems and limited Medicare Advantage (MA) recommendations.
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Post date: March 29, 2013
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