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Policy and Legislation

By Richard Pizzi | 12:21 pm | April 03, 2013
Healthcare spending by the Canadian federal government will reach a record high level of $30.3 billion in 2013-14, according to an announcement made this week by the nation's Ministry of Health.
By Chris Anderson | 12:01 pm | April 02, 2013
Under a withering barrage of pressure from the insurance industry, seniors groups and congressional members from both sides of the aisle, CMS on Monday did an about-face and significantly raised its 2014 growth percentage estimate for the Medicare Advantage program.
By Anthony Brino | 11:28 am | April 01, 2013
Bruce Greenstein, secretary of the Louisiana Department of Health and Hospitals will step down amid state and federal investigations into a $185 million Medicaid contract awarded to a company where he briefly worked.
By Jay Hancock, Kaiser Health News | 11:25 am | April 01, 2013
Maryland officials have proposed what analysts call the most ambitious initiative in the country to control soaring medical spending, a plan that would bring relief to employers and consumers footing the bill while bluntly challenging the state's powerful hospital industry.
By Stephanie Bouchard | 10:27 am | April 01, 2013
Home care companies have an opportunity to expand their businesses and shape coordinated care efforts by offering their services to hospitals seeking to avoid patient readmissions, say home care experts.
By Debra A. McCurdy | 09:11 am | March 29, 2013
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.
By James C. Bohnsack | 04:33 pm | March 28, 2013
While the Affordable Care Act's individual mandate was naturally expected to drive the previously uninsured to non-group plans, it has become increasingly clear that the individual market is also bracing for a potentially significant influx of currently insured enrollees who are driven there both by choice and necessity.
By Mary Mosquera | 01:37 pm | March 27, 2013
The Office of Inspector General issued a "special fraud alert" cautioning that physician-owned distributorships (PODs) are "inherently suspect" under the anti-kickback statute and listing suspicious characteristics of these entities that may increase the risk of fraud and abuse.
By Anthony Brino | 11:39 am | March 26, 2013
The Department of Health and Human Services' Office for Civil Rights (OCR) says it will survey the 115 HIPAA-covered entities that were audited last year to gain insight about their audit experiences.
By Mary Mosquera | 02:25 pm | March 25, 2013
As the investigation into a fatal outbreak of fungal meningitis continues, the commissioner of the Food and Drug Administration proposed Friday that the agency gain new authority to regulate pharmacy compounding, including charging fees to fund an expanded safety framework.