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Federal Officials Try Again To Bolster Plans For People With Medical Conditions
The administration sets a second premium reduction hoping to entice more enrollees.
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Big Bills For A Small Heart: The Lemacks’ Story
A Virginia family got permission for out-of-network care for their son's heart defect but still ended up drowning in debt.
By alley -
Managed Care Enters The Exam Room As Insurers Buy Doctor Groups
Large health insurers are trying to curb rising costs by gaining control over those who provide care: doctors.
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Appealing An Insurer’s Denial Is Often A Good Strategy
GAO finds most claims problems come from billing and eligibility issues, and beneficiaries often win when they appeal.
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Berwick: “I’ve Got The Back” Of Medicare Beneficiaries – The KHN Interview
Embattled CMS administrator says partnering with providers will improve care and reduce costs.
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Doctors In Small Practices Slow To Dump Paper Records
Despite carrots and sticks from the federal government, some physicians are leery about moving to electronic health records.
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Medicaid Managed Care Expands In California As State Adds Many Seniors And Disabled
Even critics of managed care are warming to the idea of including nearly 400,000 seniors and disabled person now receiving health care through the traditional Medi-Cal program. The shift to managed care begins today and will be phased in.
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Untouchable! Vets’ $52 Billion Health Care Plan
The military is trying to figure out ways to slow down the rapidly rising cost of care and the Obama administration's 2012 budget calls for the first changes since 1996.
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Florida Legislature Passes Massive Medicaid Overhaul
Arguing that the proposal will save tax dollars and improve patient care, Republican lawmakers Friday approved a massive overhaul of Florida's Medicaid system.
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Letter From California: Exchange Board Has Daunting Task
The Golden State was the first to create a health care exchange under federal law. But setting up the online marketplace will take time -- and money that the cash-strapped state might not have.
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Opinion Column
The Real Impact Of Cutting Medicaid — Just When We Need It The Most (Guest Opinion)
The recent policy debate surrounding the health care safety net seems predicated on the philosophy that we must sharply shrink government despite the accompanying human costs. That vision is most congenial to those who feel comfortable and safe without public help.
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Opinion Column
Dispatch From Los Angeles: Cockroaches, Podiatrists And Fears About Medicaid’s Future (Guest Opinion)
Located in one of the nation's most medically underserved areas, St. John's Well Child and Family Center is bracing for GOP-backed Medicaid cuts that the facility's director says would be disastrous.
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Minnesota GOP Between A Rock And Hard Place on Health Exchange Options
GOP lawmakers generally oppose efforts to set up the insurance marketplaces called for in the health law - but they aren't crazy about the alternatives either.
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Opinion Column
Legislation Needs “Any Willing Provider”
The Senate health care reform bill contains none of the features needed for real reform. The principal lobbyists have all scored impressive victories.
By Paul Taylor -
ACOs Spell Gold Rush For Health Care Consultants
Hospitals, doctors scramble for outside help in deciphering how to capitalize on health law's "accountable care organizations."
By Bara Vaida -
Under Health Law, Colonoscopies Are Free – But It Doesn’t Always Work That Way
The billing can get complicated if doctors find a polyp during a screening: Some insurers
By Harris Meyer -
Federal Medicaid Teams Deployed To Help States Cut Costs Get Mixed Reviews
Nearly half of the states have received some type of help, including 11 states with Republican governors.
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Medical Wonder: Meet the CEO Who Rebuilt a Crumbling California Hospital
Wright Lassiter is doing the seemingly impossible as CEO of the Alameda County Medical Center in Oakland, Calif.: He's turned a mismanaged urban safety-net hospital system in one of America's most violent cities into a model for other public hospitals by trimming costs -- and did it while expanding services.
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Budget Office: GOP Medicare Plan Could Lead To Rationing
Remember all those allegations from Republicans that the Affordable Care Act would inevitably lead to health care rationing? It turns out the same might be true of the House GOP budget plan for Medicare.