Payers healthcare business news from Modern Healthcare

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Reform Update: Panel queries AHIP, Blues Association about Sebelius' fundraising Jessica Zigmond | 5/24/13 - 4:00 pm States delaying, dropping controversial dual-eligible pilot program Rich Daly | 5/23/13 - 3:15 pm Reform Update: Some big names take pass on Calif. insurance exchange Jonathan Block | 5/23/13 - 4:00 pm Texas doc associations unite to share 'survival tools' Andis Robeznieks | 5/23/13 - 1:45 pm Parkland agrees to pay $1.42 million settlement Rachel Landen | 5/23/13 - 1:15 pm UnitedHealth, Aetna and Cigna opt out of Calif. insurance exchange Los Angeles Times | 5/23/13 - 7:45 am Mass. tries to retain $250 million for hospitals Boston Globe | 5/23/13 - 7:45 am HHS finds $2.2M in billing errors at Cedars-Sinai Joe Carlson | 5/22/13 - 4:00 pm

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Top Story

RAC bill getting hospital lobby's biggest push

Legislation to muzzle Medicare auditors has received the biggest hospital lobbying push this year—so far, to little effect....

Featured Multimedia

Video Feature: Michael Tarwater, CEO, Carolinas Healthcare System (7:47)

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Featured Commentary

Scandal outbreak

Merrill Goozner | May 18, 2013
Washington is again in the grip of scandal fever with the Benghazi e-mails, the IRS targeting of conservative groups, and allegations that HHS...
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Cost sustainability

Dr. Manoj Jain and Dr. Bill Frist | May 18, 2013
We have done it. We have decreased the increase in the cost of healthcare. Let us explain. For three decades (1980–2009), the cost of...
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Featured Content

Rich Daly and Rachel Landen | May 11, 2013
Last week's public unveiling of CMS' charges and reimbursements data for about 3,000 hospitals across the country painted an unflattering portrait of...
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Pushing for payment

Jaimy Lee | May 11, 2013
Some hospitals have been using low-dose CT scans in recent years to screen patients at high risk for lung cancer even though most payers, including...
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Insurers

Seeking shelter

Joe Carlson | May 25, 2013
Though hospitals tend not to encourage the practice, last week's monster tornado in central Oklahoma proved...
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Late News: Backing out

Rich Daly | May 25, 2013
Reality is squeezing down what had been a massive pilot project targeting the disproportionately expensive care for Americans enrolled in both
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Premiums and Benefits

Democratic analysis questions validity of insurance premium 'rate shock'

Jonathan Block | May 20, 2013
Where consumers live and their state's previous insurance rules may determine whether they experience “rate shock” this fall in their...
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Patient engagement's obstacle: human nature

Joseph Conn | April 11, 2013
Is patient engagement over-hyped? The chief scientist for pharmacy benefits manager Express Scripts won't go that far, but years of experience from a...
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Medicare

Late News: Backing out

Rich Daly | May 25, 2013
Reality is squeezing down what had been a massive pilot project targeting the disproportionately expensive care for Americans enrolled in both
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A credible IRS is crucial

Merrill Goozner | May 25, 2013
It didn't take long for the IRS scandal to metastasize. Last week, the mid-level bureaucrat at the center of the mushrooming affair, Lois Lerner,...
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Medicaid

Late News: Backing out

Rich Daly | May 25, 2013
Reality is squeezing down what had been a massive pilot project targeting the disproportionately expensive care for Americans enrolled in both
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States delaying, dropping controversial dual-eligible pilot program

Rich Daly | May 23, 2013
More than half of the states that applied to participate in a controversial CMS pilot for dual-eligible beneficiaries have either dropped out or...
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Wellness and Prevention

Eating better for less

Roland Sturm and Derek Yach | May 25, 2013
Since the early 1980s, federal dietary guidelines have urged Americans to eat more nutrient-rich foods and cut back on fatty foods and highly...
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Caring for the community

Jessica Zigmond | May 25, 2013
About four years ago, Nick Macchione, who oversees San Diego County's public health system, had an idea to expand the ACO concept in a way that would...
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