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News
Universal American reports $91.8M loss in 2nd quarter
By Jonathan Block | August 02, 2013 | Basic Web Basic Web Subscription Details
Unlike a number of other publicly traded health insurers that did very well in the second quarter, Universal American Corp., which specializes in Medicare Advantage products, reported an adjusted net loss for the second quarter. Its revenue slid and its medical-loss ratio came in significantly...
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News
Reform Update: Tavenner downplays GOP concerns over reform
By Jessica Zigmond | August 02, 2013 | Basic Web Basic Web Subscription Details
Two months before open enrollment begins on the state insurance exchanges, CMS Administrator Marilyn Tavenner downplayed concerns from GOP lawmakers that the 2010 healthcare law will hurt jobs and expressed confidence that the employer mandate delay won't affect the law's implementation.
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Modern Physician
Legislators call for ban on radiation therapy self-referral
By Andis Robeznieks | August 02, 2013
Federal legislators are pushing a ban on self-referral in radiation therapy in the wake of a U.S. Government Accountability Office report on the impact of physician financial incentives on prostate cancer treatments.
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Modern Physician
Aetna launches 5 ACO deals in Maine
By Melanie Evans | August 02, 2013
Aetna, one of the largest U.S. insurers, continued its push into accountable care contracts, with five new deals in Maine.
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Vital Signs
Pete Stark: Repeal the Stark law
By Joe Carlson | August 02, 2013
The healthcare world is populated by scores of legal experts who strive to keep up with the sprawling compendium of statutes, regulations and legal advisories known collectively as the “Stark law.” But the law's father, Fortney “Pete” Stark, is not one of them.
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News
Reform Update: Online insurance brokers get to play on federally run exchanges
By Jonathan Block | August 01, 2013 | Basic Web Basic Web Subscription Details
Increasing enrollment in health insurance is one of the primary goals of the health reform law. The CMS took a major step to achieve that by signing agreements with five online insurance brokers.
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News
CMS to increase Medicare payments to SNFs, inpatient rehab facilities
By Jessica Zigmond | August 01, 2013 | Basic Web Basic Web Subscription Details
The nation's skilled-nursing facilities and inpatient rehabilitation facilities will see their Medicare payments increase in 2014 under two final rules from the CMS this week.
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Information
Whistle-blower lawsuit says Tenet, HMA defrauded Medicaid
By Kate Brumback / Associated Press | August 01, 2013
A lawsuit says Tenet and Health Management Associates paid clinics to direct expectant mothers living in the U.S. illegally to their hospitals and filed fraudulent Medicaid claims on those patients.
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Vital Signs
House Energy and Commerce Committee passes legislation to repeal, replace SGR
By Jessica Zigmond | July 31, 2013
It's Christmas in July for Medicare-participating physicians—though the gift is far from being delivered. On Wednesday, the House Energy and Commerce Committee unanimously passed bipartisan legislation to repeal Medicare's sustainable growth-rate formula and replace it with a stable system of...
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Information
Humana posts 18% increase in profit
By Bruce Schreiner / Associated Press | July 31, 2013
Humana said Wednesday its second-quarter profit rose by 18%, beating Wall Street forecasts, as the health insurer reported broad performance gains led by climbing enrollment in its Medicare Advantage and prescription drug plans.
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