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When A Plan Overpays For A Service, Is A Patient Responsible For A Refund?
Experts say that overpayments occur for a variety of reasons and they can create headaches for providers and patients alike.
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Aging Doctors Face Greater Scrutiny
There are no mandatory retirement ages for doctors or formal evaluations of their skills, but some hospitals are now requiring older physicians to have periodic physical and cognitive exams.
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HHS Tells States It Will Not Fund Partial Medicaid Expansion
In a letter to governors, HHS Secretary Kathleen Sebelius says states that expand Medicaid must cover people making up to 138 percent of the federal poverty level to get enhanced funding.
By Mary Agnes Carey and Phil Galewitz -
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How Much For An MRI? $500? $5,000? A Reporter Struggles To Find Out
A health reporter tries to solve the mystery of her migraines with a doctor-recommended imaging test, but trying to find out the real cost of that test induces headaches of its own.
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Governors Weigh Options On Health Insurance Exchanges
What's at stake if they build state-based exchanges, partner with the federal government -- or let federal regulators run everything?
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In Many Communties, Nurse Practitioners Fill An Important Void
Many states are trying to loosen decades-old licensing restrictions, known as "scope of practice laws," that prevent nurse practitioners from playing the lead role in providing basic health services.
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Huge Experiment Aims To Save On Care For Poorest, Sickest Patients
An effort in California to move Medicaid patients into managed care has national significance as federal officials roll out a similar but larger program for as many as 2 million people who qualify for both Medicaid and Medicare.
By Sarah Varney and Mary Agnes Carey -
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Unmanageable Care
California's Medicaid program, known as Medi-Cal, is trying to save money by moving thousands of its patients into managed care health plans. For Juan Cameros, that meant he could no longer see the surgeon who had been treating him.
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