Unnecessary Hospital Admissions Targeted By New Payment Plan
Maryland hospitals and regulators are teaming up in an experimental payment plan to reduce unnecessary admissions while improving patient care.
Obama Administration Clashes With Insurers Over Controlling Costs
One day after unveiling new minimum medical spending rules for health plans, Obama administration officials took insurers to task for claiming premium increases result from the new law.
New Law’s Health Insurance Regulations Could Mean Rebates For Consumers
Millions of Americans might be eligible for rebates starting in 2012 under regulations released Monday detailing the health care law’s requirement that insurers spend at least 80 percent of their revenue on direct medical care.
Administration Unexpectedly Expands Bonus Payments For Medicare Advantage Plans
The Obama administration will spend up to $1.3 billion to extend special payments — meant to reward top-performing insurers — to those that score only average ratings.
With Newly-Elected Governors, GOP Gains Clout To Fight Health Reform Law
New state officials could slow the pace of implementation, seek waivers from some provisions, veto state legislation and appoint like-minded people to important positions, such as insurance commissioner slots.
State Regulators Recommend New Health Insurance Rules
State insurance regulators have defined one of the thorniest provisions of the new health overhaul law: the requirement that insurers spend at least 80 percent of revenue on direct medical care.
A New Way To Pay For Chemotherapy
One of the nation’s largest health insurers said today it is testing a new way to pay for some cancer treatments, aiming to identify the best medicines
As They Consolidate, Hospitals Get Pricier
The health reform law is likely to spur more hospital mergers, fueling a trend that experts say has led to higher hospital prices and insurance premiums.
Colleges Say New Health Law May Imperil Student Policies
Colleges and universities are warning federal officials that they may not be able to offer student health plans in the future unless the government clarifies certain provisions of the new health overhaul law.
Health Insurance Debate: Is A Little Coverage Better Than None At All?
The new health overhaul law aims to end all annual dollar limits on health insurance policies by 2014, but insurers that offer limited-benefit plans can seek waivers so they can continue to offer them. Many employers want to keep the plans, criticized by consumer advocates as skimpy.
Latest Destination For Medical Tourism: The U.S.
Forget sending workers overseas for lower cost medical care: A growing number of employers are encouraging workers to travel within the states to medical facilities they say have better quality and lower costs.
Consumer Groups: Force Insurers To Provide More Details Justifying Price Increases
Under the new health law, many insurers will have to publicly report how much they plan to raise premiums and why, but consumer advocates say draft rules on how much information is required to justify “unreasonable” increases fall short.
New Survey: Consumers Who Buy Their Own Health Insurance Report Big Rate Increase Requests
When the big California health insurer Wellpoint sought rate increases up to 39 percent this year, some wondered if they were unusual. But in a new national survey consumers who buy their own policies report the most recent rate requests averaged 20 percent.
Heart Problem Underscores Need to Test Competing Treatments
More than 2.2 million Americans have atrial fibrillation, the most common heart arrhythmia, but treatment choices vary widely
A Look At Comparative Effectiveness Research
Under the new health law, a nonprofit entity called the Patient Centered Outcomes Research Institute will be established to carry out a comparative effectiveness research agenda, starting in 2012. The law bars the government from using findings as the sole basis for decisions about what Medicare will cover.
Insurance Industry Faces Tough Scrutiny From Federal Watchdogs
A foursome of longtime industry watchdogs are helping steer the federal government’s effort to overhaul the private insurance market. Karen Pollitz, Steve Larsen, Jay Angoff and Richard Popper have top spots in the newly minted Office of Consumer Information and Insurance Oversight.
Insurance Regulators Wrestle With Definition Of ‘Unreasonable’ Rate Increases
State and federal officials are wrestling with how to define “unreasonable” premium increases, a thorny issue Congress has handed regulators.
Lobbyists Have Long Wish List For New Health Rules
Now that the health care bill is law, an array of groups — representing doctors, insurers, small businesses and others — have switched to their post-passage game plans. Among their top goals: Helping shape the all-important regulations being written by the Obama administration.
Groups Vie For A Piece Of Health Law’s $15 Billion Prevention Fund
Public health officials and a host of prevention and wellness groups have sharply different ideas about how to spend a big pot of new federal prevention money
Groups Vie for $15 Billion In Prevention Money
Public health officials and a host of prevention and wellness groups have sharply different ideas about how to spend a big pot of new federal prevention money
