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Reform Update: HHS seeks to relax fraud and abuse rules to spur care innovation
By Paul Demko | October 03, 2014 | Basic Web Basic Web Subscription Details
The Obama administration is trying to reduce legal barriers to coordinating care and giving patients the products and services they need to improve their health, such as transportation to medical appointments and blood-pressure cuffs.
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Information
Appeals court lets Texas enforce abortion limits
Associated Press | October 03, 2014
A federal appeals court Thursday gave Texas permission to fully enforce a sweeping abortion law that would effectively close all but seven abortion facilities in America's second-most populous state.
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News
Immigrants with canceled exchange plans file discrimination complaints against HHS
By Paul Demko | October 02, 2014 | Basic Web Basic Web Subscription Details
A pair of complaints alleging that HHS discriminated against federal exchange enrollees who aren't proficient in English or Spanish have been filed with the agency's Office for Civil Rights. They allege that the federal government's actions violate the rights of individuals born in foreign...
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Vital Signs
HHS moving forward with risk corridor payments despite GAO's view
Paul Demko | October 01, 2014
Congress must explicitly appropriate funds to pay for the risk corridors program that is designed to protect insurers from big losses in the state and federal exchanges, according to legal opinion issued by the Government Accountability Office.
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News
Oklahoma judge rules against Obamacare subsidies
Paul Demko | September 30, 2014 | Basic Web Basic Web Subscription Details
In a legal setback for the Obama administration, a federal judge in Oklahoma ruled Tuesday that people in states that rely on the federal insurance exchange are not eligible for Obamacare premium subsidies to help them pay for coverage.
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Reform Update: Managed Medicaid report sparks debate on state network adequacy remedies
Virgil Dickson | September 30, 2014 | Basic Web Basic Web Subscription Details
Patient-rights advocates are hopeful that a recent HHS Office of the Inspector General's report will prompt the CMS to clamp down on states regarding the adequacy of managed Medicaid plan provider networks. But state officials adamantly say that more rules from Washington won't remedy such basic...
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Information
CVS' Caremark unit settles false claims allegations
Reuters | September 29, 2014
Caremark, a unit of CVS Health Corp., will pay $6 million to settle U.S. allegations that it knowingly failed to reimburse Medicaid for prescription drug costs paid on behalf of patients who were also covered by private health plans it administered.
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Information
Texas cancer doctor convicted of poisoning lover
Associated Press | September 27, 2014
A cancer researcher in Texas was convicted Friday of aggravated assault for poisoning her colleague, who was also her lover, by lacing his coffee with a sweet-tasting chemical found in antifreeze.
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News
Reform Update: Narrow-network concerns spur legal, regulatory, political action
Paul Demko | September 26, 2014 | Basic Web Basic Web Subscription Details
The Patient Protection and Affordable Care Act has heightened concerns about narrow-network plans that have proved popular with consumers during the first year of insurance exchange operations under the federal healthcare law. Insurers and many healthcare economists argue that limiting consumer...
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News
Texas says Truven not to blame for flawed data-warehouse bid
Joseph Conn | September 26, 2014 | Basic Web Basic Web Subscription Details
Texas health officials are emphasizing that their aborted contracting process for a state-funded healthcare database was not related to any legal or ethical lapse by the apparent winning bidder, Truven Health Analytics.
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