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Policy and Legislation

By Kelsey Brimmer | 10:44 am | June 12, 2013
Safety Net Hospitals for Pharmaceutical Access (SNHPA), the group that represents hospitals in the federal 340B discount drug program, recently asked pharmaceutical manufacturer Amgen to withdraw its new policy that all 340B purchases of the company's drug Neulasta be made exclusively through specialty distribution channels.
By Debra A. McCurdy | 09:51 am | June 12, 2013
The ACA's Pre-Existing Condition Insurance Plan (PCIP) program is a temporary high-risk health insurance program for uninsured individuals who have been denied health insurance because of a pre-existing condition.
By Rodney J. Moore | 10:21 am | June 11, 2013
While more and more physician practices are focusing on patient-centered care, more support efforts are needed, according to recent report by MGMA-ACMPE.
By Chris Anderson | 12:03 pm | June 10, 2013
A report issued June 6 by the Kaiser Family Foundation contends that the medical loss requirement (MLR) of the Affordable Care Act saved health insurance consumers $2.1 billion in 2012.
By Kelsey Brimmer | 10:40 am | June 05, 2013
The Robert Wood Johnson Foundation (RWJF) announced Tuesday a competition to improve consumer understanding and use of data comparing hospital prices but the results could also be of use to hospitals.
By Anthony Brino | 03:24 pm | June 04, 2013
Adding more mixed evidence to the Medicaid expansion debate, health researchers found that extending coverage to low-income, childless adults in Wisconsin corresponded with a decrease in preventable hospitalizations but also increases in outpatient and emergency department visits.
By Anthony Brino | 10:57 am | June 04, 2013
The Medicare Trustees have projected in their annual report that the program's hospital insurance trust fund will remain solvent until 2026, two years later than predicted last year, but with many uncertainties impacting the program, they urge reform.
By Mary Mosquera | 10:58 am | June 03, 2013
As the country gets ready for the roll out of the major components of the Affordable Care Act, stakeholders can look to Massachusetts, where healthcare reform was enacted seven years ago. The second installment of PwC Health Research Institute's The Massachusetts Experience, released Thursday, provides analysis on the effects of rapid insurance coverage expansion on health payers and providers in the state.
By William G. Sutton | 10:53 am | June 03, 2013
Possible changes are coming to how leases are accounted for on corporate balance sheets. Here's what you need to know.
By Tammy Worth | 01:00 am | June 01, 2013
Evan Schwartz, founding partner of New York-based law firm Quadrino Schwartz, said his organization used to see the occasional case of private insurers retrospectively auditing health care providers – they only litigated about 10 or so each year.