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On the VA, Ebola trials and the SHOP exchanges

On the VA, Ebola trials and the SHOP exchanges

By Merrill Goozner  |  November 15, 2014

Talk about sending mixed messages. Robert McDonald, the new head of the Veterans Affairs Department, wants to hire 28,000 new doctors, nurses and other clinical staff to reduce delays in offering care to the nation's growing VA-eligible population.

GAO: HealthCare.gov website must boost security

GAO: HealthCare.gov website must boost security

By Associated Press  |  September 16, 2014

HealthCare.gov, the health insurance website serving more than 5 million Americans, has significant security flaws that put users' personal information at risk, nonpartisan congressional investigators have concluded.

GAO finds Medicare's audit contractors may duplicate efforts

GAO finds Medicare's audit contractors may duplicate efforts

By Bob Herman  |  August 14, 2014

The CMS' audit contractors may overlap duties and hammer hospitals with multiple reviews of the same payment claims, according to a new Government Accountability Office report that echoes concerns the provider community has voiced for years.

Fictitious applicants easily get ACA subsidies: GAO

By Paul Demko  |  July 26, 2014

While federal courts last week ruled on the legality of insurance subsidies issued from federally run exchanges, Congress was hearing about another, much more dollars-and-cents subsidy issue, namely how easy it apparently is for consumers to lie to obtain subsidies.

Per capita Medicaid spending varies widely: GAO

By Paul Demko  |  July 19, 2014

Per capita spending on Medicaid beneficiaries varied widely across the country in fiscal 2008, according to an analysis by the Government Accountability Office.

Most insurers hit medical-loss ratio requirements: GAO

Most insurers hit medical-loss ratio requirements: GAO

By Paul Demko  |  July 10, 2014

Roughly three-quarters of health insurers spent enough money on medical care to avoid paying refunds to their customers in 2011 and 2012, according to a report issued by the U.S. Government Accountability Office. Insurers operating in the individual, small group and large group markets spent a...

Physical therapy services up 30%, but self-referrals not to blame

Physical therapy services up 30%, but self-referrals not to blame

By Andis Robeznieks  |  June 03, 2014

Physical therapy services provided to Medicare beneficiaries increased by almost 30% between 2004 and 2010, but unlike other healthcare service-utilization increases, self-referring physicians were not the cause for the jump, according to a new U.S. Government Accountability Office report.

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