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June 28, 2012
The Supreme Court ruled that the individual mandate survives as a tax under the Patient Protection and Affordable Care Act.
June 26, 2012
A study released last week by the non-profit healthcare consumer advocacy group Families USA found that in 2010, 26,100 people between the ages of 25 and 64 died prematurely due to a lack of health insurance.
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June 26, 2012
All eyes in the healthcare industry are on the Supreme Court as they await its ruling on the Affordable Care Act, now likely to be handed down Thursday morning. There's no doubt the decision will have a major impact on a number of issues, ranging from new industry regulations to popular provisions to the effects on small businesses.
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June 22, 2012
In its June 2012 report to Congress, the Medicare Payment Advisory Commission (MedPAC) focused on three areas: Medicare benefit design, care coordination for fee-for-service (FFS) Medicare and care coordination for those dually-eligible for Medicare and Medicaid.
June 20, 2012
In the rush to regulate the fast-growing industry of mobile medical apps, Congress has apparently sidestepped a potential power struggle with the Food and Drug Administration over the agency's authority to regulate them.
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June 05, 2012
Exclusive of the health reform law, a majority of states have established delivery system qualifications and payment policies to promote Medicaid's medical homes program.
May 31, 2012
The U.S. Government Accountability Office (GAO) announced last week the appointment of five new members and the reappointment of one existing member to the Medicare Payment Advisory Commission (MedPAC). The official announcement will be published in the Federal Register.
May 30, 2012
A multi-billion dollar federal initiative to move low-income elderly and disabled people from long-term care facilities into the community has fallen far short of its goals, as many states have struggled to cobble together housing and other services.
May 29, 2012
Letters sent last Friday to House Ways and Means Committee chairs Dave Camp (R-Mich.) and Wally Herger (R-Calif.) from the American Medical Association (AMA) and Medical Group Management Association (MGMA) suggest a number of different payment approaches aimed at a long-term solution to the current Medicare sustainable growth rate (SGR).
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May 22, 2012
During testimony last week at the Oversight Subcommittee of the House Ways and Means Committee hearing, Irving, Texas-based VHA Inc., said that the Internal Revenue Service (IRS) Schedule H amendment, which regulates reporting for tax-exempt organizations, has overly burdensome requirements for non-profit hospitals.
May 18, 2012
Irving, Texas-based VHA Inc., the national health care network, provided expert testimony to the Oversight Subcommittee of the House Ways and Means Committee today that the Internal Revenue Service Schedule H amendment and informal guidance place overly burdensome requirements on nonprofit hospitals, redirecting scarce resources away from meeting their communities' most pressing health needs.
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May 10, 2012
As lawmakers debate what to do to avoid the sequestration of the Budget Control Act, those getting hit with the mandated cuts, such as defense and healthcare, are making sure Congress understands what the cuts will mean for their industries.
May 07, 2012
Even with their own health improvement strategies in place, some states, such as Vermont and Minnesota, are already harnessing the Patient Protection and Affordable Care Act to establish health insurance exchanges and to drive healthcare delivery and payment reforms to the extent that their legislatures enable them.
May 07, 2012
The term “unelected bureaucrats” has been bandied about in Congress when referring to a particularly loathsome provision - to some - of the Affordable Care Act: the Independent Payment Advisory Board (IPAB). The reference is to the 15 people who will serve on IPAB, all of whom are subject to Senate confirmation.
April 27, 2012
A recent report by the Government Accountability Office (GAO) noted that oversight by the Centers for Medicare & Medicaid Services of state Medicaid managed care programs was inconsistent and did not ensure the quality of the data used to set rates.
April 19, 2012
President Obama has outlined a plan to do away with Medicare completely, according to Rep. Michelle Bachmann (R-Minn.) who appeared on NBC's Meet the Press on April 15. Bachmann didn't back up the claim with specifics, but in previous statements she has claimed to have heard Obama mutter under his breath on this subject at an off-the-record White House meeting.
April 16, 2012
According to Harvard Law professor Einer Elhauge, in 1790 the first Congress, which included 20 framers of the Constitution, passed a law mandating that shipowners purchase medical insurance for their seamen.
March 29, 2012
On the third and final day of the healthcare law hearings at the U.S. Supreme Court Wednesday, the major question the battling attorneys took up was whether Congress would have enacted the health reform law without the part that may be found to be unconstitutional.
March 23, 2012
On March 26, the Obama administration's health care reform package goes to the U.S. Supreme Court, which has scheduled an historic three days of arguments. The outcome could have an enormous impact on AHIP and its members.
March 23, 2012
With seven Democrats crossing the aisle, the U.S. House of Representatives yesterday passed a bill to repeal a key component of the Affordable Care Act, the Independent Payment Advisory Board (IPAB).