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Policy and Legislation

By Kelsey Brimmer | 03:14 pm | November 28, 2012
BayCare Health System in Clearwater, Fla., has agreed to pay over $10.1 million to the federal government to resolve allegations that the health system violated the False Claims Act announced the U.S. Justice Department (DOJ) last week.
By Debra A. McCurdy | 11:58 am | November 28, 2012
On November 21, 2012, the Massachusetts Public Health Council finalized amendments to the State’s Marketing Code of Conduct.
By Chris Anderson | 11:45 am | November 28, 2012
A new consumer survey of more than 1,200 voters conducted by PwC Health Research Institute (HRI) found that 69 percent want President Obama to make reducing costs his top healthcare priority in his second term.
By Mary Mosquera | 12:57 pm | November 27, 2012
States that expand their Medicaid program eligibility under the health reform law will incur only modestly higher state costs, about 3 percent, compared with significant increases in federal funds, according to a new report from the Kaiser Family Foundation.
By Chris Anderson | 12:04 pm | November 27, 2012
As many as 31 million Americans now receive healthcare through an accountable care organization (ACO) according to a recent report from industry consulting company Oliver Wyman.
By Chris Anderson | 12:01 pm | November 26, 2012
A new report from the Government Accountability Office (GAO) found that less than 4 percent of Medicaid beneficiaries who had coverage for at least a year reported difficulty obtaining medical care in 2008 and 2009, this despite more than two-thirds of states reporting they faced challenges in ensuring there are enough Medicaid providers to serve the growing number of beneficiaries.
By Stephanie Bouchard | 11:27 am | November 26, 2012
A South Carolina-based hospice company has agreed to settle false claims allegations for $1.287 million, the Department of Justice announced last week.
By Chris Anderson | 11:52 am | November 21, 2012
Nearly a year after providing guidance that broadly defined essential health benefits (EHBs), the U.S. Department of Health and Human Services on Tuesday put some meat on the bones with a detailed set of proposed rules that will determine the required components that must be offered beginning in 2014 through all non-grandfathered health plans.
By Kelsey Brimmer | 03:12 pm | November 20, 2012
In an effort to control costs and get people covered by health insurance, the Affordable Care Act offers a number of options for covering low-income people. Among those options is the Basic Health Program, which some say will save money and others say will kill health insurance exchanges.
By Kelsey Brimmer | 10:49 am | November 20, 2012
The U.S. Department of Health and Human Services (HHS) will need to place a lot of emphasis on implementing the Affordable Care Act (ACA) in the coming year, according to the Office of Inspector General's (OIG) annual summary of management and performance challenges facing the agency, released this week.