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The Week in Healthcare news and information

Magazine
Exchange exclusion suit | Higher-cost hospitals may be affected
By Joe Carlson | October 12, 2013 | Print Magazine Print Magazine Subscription Details
Executives at Seattle Children's Hospital said they were stunned to learn they had been excluded from two health plans on Washington's new insurance exchange—but the same scenario may be playing out behind closed doors in higher-cost hospitals across the country.
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Magazine
Insurers lower cost-sharing for preventive drugs | Aetna, WellPoint, Humana cut patients' costs to improve compliance, outcomes
By Steven Ross Johnson | October 12, 2013 | Print Magazine Print Magazine Subscription Details
Some major health insurers have reduced patient cost-sharing for preventive drugs out of a growing realization that lowering cost-sharing improves compliance and cuts the total cost of care.
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Magazine
Practices undecided | Many unsure about exchange plans, survey shows
By Andis Robeznieks | October 12, 2013 | Print Magazine Print Magazine Subscription Details
The physicians expected to provide the care to exchange plan members are wary about the new program, according to a Medical Group Management Association survey.
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Magazine
Providers threaten lawsuits | Advantage plans pass along 2% sequester rate cuts
By Beth Kutscher | October 12, 2013 | Print Magazine Print Magazine Subscription Details
Healthcare providers are threatening to sue insurers that pass along a 2% rate cut imposed on their Medicare Advantage plan payments under the federal budget sequestration law.
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Magazine
Exchange variables | Finding providers depends on state
By Maureen McKinney | October 12, 2013 | Print Magazine Print Magazine Subscription Details
Choice of healthcare provider often ranks second only to cost when consumers choose a health insurance plan. But for visitors to the new federally facilitated and state-run insurance exchanges, their ability to...
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Magazine
Traffic jam | As millions head to exchange websites, government officials race to fix glitches
By Maureen McKinney | October 05, 2013 | Print Magazine Print Magazine Subscription Details
After a glitch-plagued first week of enrollment on the state and federally run insurance exchanges, many observers are wondering whether more technical problems are still to come and whether consumers will keep doggedly trying to sign up for coverage.
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Magazine
Private Medicaid option | Some states eye Ark. alternative expansion model
By Steven Ross Johnson | October 05, 2013 | Print Magazine Print Magazine Subscription Details
The Obama administration's recent approval of Arkansas' alternative plan to expand healthcare coverage for low-income residents under the federal healthcare reform law bodes well for several Republican-led states looking to implement their own alternative...
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Magazine
Counselors' training to help consumers enroll hits roadblocks
By Steven Ross Johnson | October 05, 2013 | Print Magazine Print Magazine Subscription Details
Many healthcare providers and community organizations across the country that have been designated as certified application counselors to help consumers enroll in health plans on the new state health insurance exchanges were still waiting last week for...
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Magazine
Tuomey hit hard | Hospital needs settlement on Stark violations
By Joe Carlson | October 05, 2013 | Print Magazine Print Magazine Subscription Details
After eight years of fierce legal confrontation with the federal government, board members at Tuomey Healthcare System in Sumter, S.C., lack a permanent CEO, owe on junk-status bonds and face the highest penalties levied against a community hospital in a...
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Magazine
All eyes on how Tenet pursues reform
By Beth Kutscher | October 05, 2013 | Print Magazine Print Magazine Subscription Details
Now that Tenet Healthcare Corp. has completed its $1.8 billion acquisition of Vanguard Health Systems, investors and peers will watch how the company capitalizes on healthcare...
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