Policy and Legislation
Saying the federal government hasn't done enough to provide concrete parameters for establishing health insurance exchange, Gov. Chris Christie on Thursday vetoed state legislation that would have created a state-run HIX in New Jersey.
A new study reveals that financial risk plays a role in underuse of hospice care in the United States.
Employee wellness plans can be great cost savers for both health insurance companies and employers in the long run, but with new proposed rules and regulations around wellness plans set to begin on Jan. 1, 2014, employers and insurers are going to have to be careful about following more legal requirements.
The Department of Justice announced Tuesday that False Claims Act recoveries in 2012 set records, including for healthcare recoveries, which topped $3 billion.
The U.S. Food and Drug Administration (FDA) announced Monday that it is part of the first public-private partnership to promote medical device regulatory science. The partnership will focus on speeding up the review and approval processes of new medical devices.
Medicare Advantage (MA) HMO plans may be offering more efficient care than Medicare Part A and B plans, a study published in the journal Health Affairs has found. According to researchers, MA HMO enrollees have fewer hip and knee replacements and use fewer benefits for outpatient surgeries and procedures, inpatient stays and emergency department visits.
Last week New York Attorney General Eric T. Schneiderman announced a $3.1 million settlement with Excellus BlueCross BlueShield requiring the insurer to refund 12,000 plan members who overpaid their healthcare providers as a result of the company's improper accounting of deductibles.
Despite the economic downturn, the number of uninsured children eligible for Medicaid and CHIP programs fell to 4.4 million in 2010, a 10 percent decrease from the 4.9 million who were uninsured in 2008, according to an analysis of government data released recently by the Robert Wood Johnson Foundation.
A report issued Nov. 29 by the Office of Inspector General (OIG) calling for more oversight of the meaningful use program has been mostly well-received by stakeholders. Doctors, however, are concerned about the burden of pre-payment audits.
Hospitals and healthcare systems across the country will soon be facing large cuts in Medicare if the U.S. Congress cannot reach an agreement on an alternative deficit reduction plan in order to avert the so-called fiscal cliff, therefore it's a good idea for these organizations to start being proactive.