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Methodology: How Hospital-Acquired Conditions Are Calculated
Before assessing penalties, Medicare assesses rates of infection among patients with catheters in major veins and in the bladder and eight other patient injuries, such as blood clots, bed sores and accidental falls.
By Jordan Rau -
For Asian Immigrants, ACA Coverage Contains Mysteries
In navigating the health law, Asian immigrants in Philadelphia, find that the obstacles can be both cultural and political.
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Jury Is Still Out On Medicaid Managed Care
While a growing number of states are contracting with managed care companies to manage their Medicaid programs, there are still questions about cost savings and quality.
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California Doctors Among Those Charging Medicare The Most For Office Visits
Billing data show that some doctors charge the government much more than their peers in the same specialty by deeming almost all office visits "complex."
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Will Health Reform Bring New Role, Respect To Primary Care Physicians?
By paying primary care doctors to cut specialist and hospital revenue, CareFirst BlueCross BlueShield is helping to alter the medical spoils system.
By Jay Hancock -
Parents Of Mentally Ill Adult Children Frustrated By Privacy Law
Even if parents are providing health insurance, they often can't find out about what's happening when their adult children suffer from severe mental illnesses.
By Jenny Gold -
Obamacare Lightens Load For Cancer Patients
People with cancer can now get health coverage even if they lose their jobs and insurance.
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Medicare May Be Overpaying Hospitals For Short-Stay Patients
A congressional panel has held its first hearing on a controversial rule that governs the admission status of Medicare patients.
By Susan Jaffe -
D.C. Health Insurance Tax Triggers Insurer Pushback
All insurers that sell health-related policies would be required to pay the assessment, even those whose products aren't sold on the exchange.
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With Medical Debts Rising, Doctors Are More Aggressive About Payments
Between 2008 and 2012, multispecialty practices saw their bad debt go up 14 percent, according to a recent survey, and some have begun to change their business practices in response.
By Jenny Gold -
What To Do About Medical Debt
Medical debt is worrisome and embarrassing, but more importantly, it can have long-term financial consequences. Here are some tips that may be helpful to avoid or alleviate medical debt.
By Lexie Verdon -
Safety Net Hospitals Already Seeing More Paying Patients – And Revenue
Many inner-city hospitals in Medicaid-expansion states report big drops in the number of uninsured people for whom they provide care.
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Who Really Pays For Health Care Might Surprise You
Implementation of the health law has renewed discussions of who wins, loses and gains access to health insurance. But questions persist. Here's a corrective to common misconceptions about who pays for health care.
By Jay Hancock -
Waiting For Medicaid To Kick In
About 800,000 people in California are presumed to be eligible for the newly expanded program but lack final approval. For a Los Angeles hairdresser and others like her, that means medical appointments are on hold.
By Anna Gorman -
Progress, Challenges As Medicaid Rolls Swell in Wash.
One of the most successful initiatives in the Affordable Care Act has been the effort to sign up patients to be covered by Medicaid under an expanded program. Now comes the hard part: facing up to challenges brought on by having so many more people in the program.
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What Surge? Nation’s Primary Care System Holding Up Well So Far Under Obamacare
Some say early concerns were exaggerated, though late enrollment and Medicaid problems also have cut demand.
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Fully paid up but still no coverage
A 39-year-old Philadelphia day care teacher, made three monthly premium payments at more than three times the subsidized rate just to make sure she was covered. And her insurance has still been canceled three times
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Focus On Marketplace Enrollment Overlooks Millions Who Bought Private Insurance
The federal government hasn't been counting the number of people who buy non-exchange plans directly from insurance carriers -- and that number could be substantial.
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When Doctors Need Advice, It Might Not Come From A Fellow Human
At hospitals and clinics around the country, physicians are tapping artificial intelligence systems for warnings and recommendations.