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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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News
Reform Update: Docs being called to use more effective treatments
By Melanie Evans | July 31, 2013 | Basic Web Basic Web Subscription Details
Physicians could do far more to use prescription drugs more cost-effectively—in some cases, by recommending exercise or better nutrition before prescribing them in the first place, say a team of Dartmouth University researchers. The researchers are calling for more nuanced measures of...
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News
OIG wants skilled-nursing access for all Medicare beneficiaries
By Jessica Zigmond | July 30, 2013 | Basic Web Basic Web Subscription Details
HHS' office of the inspector general is urging the CMS to ensure Medicare beneficiaries have the same access to skilled-nursing care after leaving the hospital, regardless of how their stay is coded.
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News
Reform Update: Public health organizations work to prepare providers for Medicaid expansion
By Steven Ross Johnson | July 30, 2013 | Basic Web Basic Web Subscription Details
Three leading public health organizations have announced plans to partner in a project aimed at helping the nation's healthcare providers prepare for the 2014 expansion of Medicaid coverage.
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