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Managed Care April 2000 Michael Levin-Epstein |
Congressional Anti-Kickback Battle Hinges on HCFA's Regulatory Stance In an election year, the political hot buttons -- the Patients Bill of Rights and a Medicare prescription benefit, and maybe the issue of medical errors -- are sure to get a lot more attention than such mundane things as laws that would address potential kickbacks.... |
Managed Care January 2001 Michael Levin-Epstein |
Clinton's Regulations May Be Model For Patient-Rights Legislative Push That handiwork might just provide a preview of the type of patient-rights legislation a sharply divided Congress might produce... |
Managed Care December 2000 Michael Levin-Epstein |
Outpatient PPS Regulations Latest Source of Anti-HCFA Anger The Health Care Financing Administration continues to be one of the most besieged agencies in the federal government. Now, providers are attacking the agency's rules for the prospective payment system (PPS) for hospital outpatient services... |
Managed Care February 2001 Michael Levin-Epstein |
HIPAA Privacy Rules Create Uncertainty, Compliance Woes When it comes to information-sharing, just when does 'no' mean 'no'? What about conflicting statutes? We have two years to sort it out... |
Managed Care October 2002 Pamela L. Popp |
How To -- And Not To -- Disclose Medical Errors to Patients Health care facilities and physician practices must commence development and implementation of a disclosure policy. The policy should include a statement of the need and willingness of the patient and physician to have an open and honest relationship and a constant dialogue. |
Managed Care March 2001 Michael Levin-Epstein |
Managed Care Again Seen on Capitol Hill As Ripe for Reform Of the many health care issues circulating in the nation's capital, managed care reform is back as the biggest of them all... |
Managed Care July 2000 Michael Levin-Epstein |
Congress Asked To Take Action As HMOs Flee Managed Medicare Thanks mainly to the increasing cost of providing a prescription drug benefit, HMOs are exiting Medicare+Choice, the system that was supposed to manage the health of the nation's senior citizens, in droves. Only an act of Congress can save Medicare+Choice, but is seems doubtful that will happen. |
Managed Care March 2000 Michael Levin-Epstein |
Medical Errors, D.C.'s New Cause - Will Result Be Action, or Just Talk? ...In its landmark study, "To Err Is Human," the Institute of Medicine embarrassed health care by labeling it at least a decade behind other high-risk industries in protecting its customers.... |
Managed Care August 2001 John Carroll |
Info on Questionable Physicians Languishes in National Data Bank A clearinghouse was created that stores details about malpractice suits and disciplinary actions. So how come HMOs don't use it? |
Managed Care January 2002 Michael Levin-Epstein |
HHS Seems To Soften Hard Line on Kickbacks Do two recent advisory opinions from the Health and Human Services Office of the Inspector General signal some moderation in federal policy on what constitutes a kickback? Maybe. Or then again, maybe not... |
Managed Care April 2001 Michael Levin-Epstein |
President's Privacy-Rule Review Creates Controversy, Confusion The final medical privacy regulations under the Health Insurance Portability and Accountability Act (HIPAA) stand out in terms of controversy and confusion. The end game is still cast in doubt... |
Managed Care April 2002 |
HHS Applies 'Common Sense' To Privacy Regs In what is being hailed -- or scorned, depending upon the source -- as a major victory for the health care industry, the Bush administration has issued proposed revisions to privacy regulations... |
American Family Physician December 15, 2005 Sarah J. Evans |
Newsletter AAFP, ACP, AOA Urge Congress to Stop Medicare Payment Cuts... HHS Awards Emergency Health Care Aid to Louisiana Katrina Victims... HHS Grants Contracts for Nationwide Health Information Network... etc. |
Managed Care May 2001 Jeffrey J. Denning |
How To Challenge Medicare Payments Less than 6 percent of Medicare payments are protested. Of those, about 6 in 10 result in increased compensation for the physician. Odds are on your side... |
Managed Care October 2001 Michael Levin-Epstein |
Medicare+Choice Reform: Hope, but No Quick Action Expected There have been small accomplishments, and wheels have been churning for more forceful action -- that is, they were until Sept. 11... |
Managed Care March 2002 Michael Levin-Epstein |
Illinois's Medicare Drug Program Called 1st Stab at National Reform The Illinois demonstration program gives the state permission to use federal and state Medicaid dollars to provide prescription drug coverage for 365,000 low-income, elderly Medicare beneficiaries... |
Managed Care May 2000 Michael Levin-Epstein |
Marketing Medicare+Choice? Mind Your Ps and Qs, Says OIG A lot of Medicare HMOs' marketing materials don't cut it, says a report by the Office of the Inspector General. It adds that the Health Care Financing Administration is partly to blame.... |
American Family Physician July 15, 2005 Carrie Morantz |
Newsletter AMA, AAFP Act to Protect Patients' Access to Prescriptions... AHRQ Releases Updated Guide to Clinical Preventive Services... HHS Awards $80.5 Million in Grants to Reduce Infant Mortality Rates... etc. |
American Family Physician January 15, 2007 |
Newsletter Congress Passes Legislation That Prevents Medicare Payment Cut... Congress Approves Extension of Physicians for Underserved Areas Act... HHS Unveils Four Cornerstones of Value-Driven Health Care System... etc. |
Managed Care October 2000 |
For Most States, Medical Error Reporting Is Uncertain Science Other industries have figured out how to collect, analyze, and use error data to prevent catastrophes and drive continuous-quality-improvement programs. Health care is only now beginning that process... |
Managed Care September 2007 Martin Sipkoff |
Go Carefully When Measuring Quality Gauging and rewarding good work in health care is a noble goal with potentially negative consequences. |
Managed Care March 2001 Mark D. Abruzzo |
'Final' Stark Regulations Still a Work in Progress The Stark Law generally prohibits physicians from referring Medicare patients for certain designated health services to entities with which the physician (or immediate family members) has a financial relationship... |
Managed Care October 2001 Michael Levin-Epstein |
Medicare Demonstration Projects Seek To Coordinate Chronic Care The Centers for Medicare and Medicaid Services is awaiting the results of landmark demonstration programs to determine if improved Medicare services can be furnished to chronically ill patients without increasing costs... |
Pharmaceutical Executive March 1, 2009 Jill Wechsler |
Through the Looking Glass Pharma relations with researchers are critical for developing new technology, and reformers will discourage inappropriate relationships by making any links to pharmaceutical marketing known to all. |
Pharmaceutical Executive October 1, 2010 |
Getting Ready for Sunshine Health reform requires detailed tracking and full disclosure of fees to docs for marketing and research. |
Managed Care March 2006 Taylor & Eck |
It's Time for CMS to Release Physician Medicare Claim Information The Center for Medicare & Medicaid Services is a rich source of price and quality data. Isn't it about time it shared that data? |
Managed Care November 2001 Michael Levin-Epstein |
Health Care Talk Unseemly When United States Is at War In Washington, a city that thrives on policy discussion, most lobbyists, association executives, and politicians are incredibly reluctant to talk about legislative and regulatory issues affecting managed care... |
Knowledge@Wharton July 30, 2003 |
Restructuring Medicare Is a Riskier Operation than First Thought Hailed as a bipartisan success when passed in late June, two Medicare reform bills are losing some of their luster as they face closer scrutiny by a conference committee made up of members of both chambers charged with reconciling the legislation this fall. |
Salon.com December 7, 1999 Dena Bunis |
Medical mistakes are killing us Health plans covering federal workers will be the first to improve the quality of care. |
InternetNews December 18, 2008 Kenneth Corbin |
E-Healthcare Gets Federal Mandate Department of Health and Human Services unveils best practices for ensuring patient privacy with online medical records, Medicare pushes e-prescriptions. |
Pharmaceutical Executive April 10, 2014 |
Obama Policies Reshape Pharma Marketing Health reform initiatives promote transparency, challenge reimbursement, writes Jill Wechsler. |
American Family Physician December 15, 2006 Liz Smith |
Newsletter Medicare Beneficiaries Advised to Review Drug Plan Changes for 2007... AAFP Federal Advocacy Efforts Will Focus on Physician Payment Reform... Pay-for-Performance Incentives Used by One Half of Surveyed HMOs... etc. |
Managed Care November 2002 Fox et al. |
HIPAA Modifications Ease Burdens, But Don't Take Anything for Granted Although the final privacy rule in the Health Insurance Portability and Accountability Act (HIPAA) eases some burdens for managed care organizations and providers, it still significantly restricts the use and disclosure of protected health information. |
Pharmaceutical Executive March 1, 2014 Jill Wechsler |
Data disclosure, integrity challenge pharma Transparency initiatives are multiplying, affecting research, marketing and compliance. |
Managed Care December 2004 Adler & Schukman |
The Role of Managed Care In Patient Safety & Error Reduction Patient safety and medical errors have become the focus of increasing attention from the public, policymakers, and accreditation agencies. Managed care organizations clearly are important stakeholders in this issue. |
Pharmaceutical Executive January 1, 2013 Al Topin |
The Doctor-Patient Disconnect Doctor-patient conversations aren't always what we think; this basic interaction represents both a problem and an opportunity for today's drug marketers, says the author. |
Managed Care August 2001 |
Four Views of Managed Care Ethics The evolution of managed care has posed ethical problems for physicians, plan administrators, and even patients. Four ethicists find that questions are many, while satisfactory answers are in short supply... |
Managed Care August 2001 |
In Calif., Bonuses Based on Quality, Not Cost Savings Blue Cross of California has decided to move away from the traditional managed care incentive of rewarding physicians for controlling medical costs, and instead will implement a program in which physicians receive bonuses for quality of care and patient satisfaction... |
Managed Care September 2004 |
Bush Officials Seek Bounce From Medicare Reform Law Unfortunately for Bush, a recent survey says that most Medicare recipients who plan to let this issue influence their vote plan to cast those votes for Sen. John Kerry. |
Managed Care July 2007 |
AMA: Patients Will Feel Cuts in Medicare Next year's proposed 10 percent cut in Medicare payments is serving as a rallying point for members of the American Medical Association, which says the cuts will make it difficult for physicians to accept new Medicare patients. |
American Family Physician September 1, 2000 Cheryl Winchell, M.D. |
Curbside Consultation What to do when a patient makes inappropriate, seductive advances to you, his/her physician... |
Managed Care May 2006 |
Physician Disclosure Strengthens Patients' Trust Patients who received a disclosure felt more competent to judge the effect of their physician's compensation on their health care, and nearly a quarter of patients who remembered receiving a disclosure reported that it had increased their trust in their primary care physician. |
Managed Care October 2000 |
Quick Fix May Be in Store for M+C, But Meaningful Change Likely To Wait Whatever diversion prescription drug proposals have provided, Medicare+Choice is back on Congress's radar screen. While sentiment is again running strong among legislators to address the wounded program, Congress is now racing a clock ticking ever closer to the elections... |
OCC Bulletin September 8, 2000 |
Privacy Laws and Regulations This document is designed to assist national banks and their subsidiaries in complying with federal laws and regulations relating to the disclosure of consumer financial information... |
American Family Physician January 15, 2004 Matthew Neff |
HHS Announces Medicare Prescription Drug Discount Card Program The Department of Health and Human Services (HHS) Secretary Tommy G. Thompson recently announced an interim final regulation for the Medicare Prescription Drug Discount Card Program, designed to help persons who are covered by Medicare with the cost of prescription drugs. |