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Magazine
Votes of approval, disapproval | Officials on list represent the full political spectrum
By Andis Robeznieks | August 24, 2013 | Print Magazine Print Magazine Subscription Details
Six elected officials are included in this year's 100 Most Influential People in Healthcare list, and it's an even mix: three Democrats, three Republicans; three based in Washington, three based in the states; and three...
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Magazine
Providers' burden | Grace period on premiums lets insurers suspend claims payments
By Jonathan Block | August 17, 2013 | Print Magazine Print Magazine Subscription Details
Provider groups are protesting a CMS rule interpreting the healthcare reform law that gives consumers a grace period for unpaid health insurance premiums will put them at significant risk of delivering services for which they won't get paid.
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Magazine
Less choice, lower premiums | Many exchange plans will offer narrow networks
By M.P. McQueen | August 17, 2013 | Print Magazine Print Magazine Subscription Details
Many of the health plans that will be sold on the new state insurance exchanges in January will offer substantially smaller networks of hospitals and physicians than current health plans generally offer.
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Magazine
Critical debate | Proposal to strip critical-access status from two-thirds of those hospitals called a death knell for many
By Joe Carlson | August 17, 2013 | Print Magazine Print Magazine Subscription Details
The Obama administration and several federal agencies have proposed reining in the Medicare critical-access program. That has triggered widespread outrage and fear among critical-access hospital officials and their trade-industry spokespeople.
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Magazine
Will buyers visit exchanges? | Quarterly update offers overview of reform news
By Jessica Zigmond | August 17, 2013 | Print Magazine Print Magazine Subscription Details
Find out by reading the findings and predictions in the first Modern Healthcare Insights: Reform Update Quarterly.
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Magazine
Late News: Slow growth | Altarum Institute: Higher healthcare prices unlikely
By Jaimy Lee | August 17, 2013 | Print Magazine Print Magazine Subscription Details
Healthcare prices are growing at historically low rates, according to new estimates from the Altarum Institute.
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Magazine
Immigration safety net | Overhaul not likely to improve healthcare access
By Joe Carlson | August 10, 2013 | Print Magazine Print Magazine Subscription Details
If legislation to overhaul the U.S. immigration system ever becomes law, it's still likely to leave millions of citizens-to-be relying on safety net healthcare providers for years to come.
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Magazine
Stark threat on Medicaid | Pending case will test whether states can be held liable for providers' violations
By Joe Carlson | August 10, 2013 | Print Magazine Print Magazine Subscription Details
For 20 years, the CMS has not applied the federal ban on physician conflicts of interest known as the Stark law to Medicaid claims. It's focused on Medicare only. But private whistle-blowers have begun pressing for clarity on the issue because a 1993 law applying Stark to Medicaid remains on the...
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Magazine
Making the difference | Tavenner tells Women Leaders in Healthcare attendees they can help make reform work
By Beth Kutscher | August 10, 2013 | Print Magazine Print Magazine Subscription Details
With the complicated state health insurance exchanges going live in October, CMS Administrator Marilyn Tavenner has a lot to think about at the end of the day.
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Magazine
Embracing ACOs | Private insurers forge string of provider deals for accountable care
By Melanie Evans | August 10, 2013 | Print Magazine Print Magazine Subscription Details
In a growing number of contracts with providers, private health insurers are embracing accountable care, which holds providers jointly responsible for controlling costs and improving outcomes.
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