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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Managed Care May 2002 David Humiston & Stephen M. Crane	Will Your State's Privacy Law Be Superseded by HIPAA? Careful interpretation required: Health plans operating in multiple states have a challenge sorting out where the federal law trumps state statutes
Managed Care February 2002 Michael Levin-Epstein	Plans, Providers Should Use HIPAA Breathing Room Wisely HMOs may delay compliance with HIPAA electronic transactions and code reporting requirements for one year under legislation passed by Congress late last year. However, the new law doesn't affect information privacy requirements slated to take effect in 2003...
Nursing Management April 2010 Lisa A. Gallagher	Revisiting HIPAA The Health Insurance Portability and Accountability Act of 1996 Privacy and Security Rules have been in effect since 2002-03.
Managed Care January 2002	1-Year Delay Near In Implementation Of HIPAA Rules It looks like most players in health care -- IT vendors excluded -- will get what they want if a bill delaying the deadline for compliance with the Health Insurance Portability and Accountability Act's electronic claims standards becomes law...
PC World March 15, 2001 Andrew Brandt	Privacy Watch: Medical Records Privacy Law Threatened A handful of insurance and medical industry companies want to sell your personal data. A look at the current state of the law in the U.S.
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...
InternetNews April 21, 2005 Tim Gray	HIPAA Deadline Passes Health care organizations still working to comply with privacy and security technology provisions of HIPAA.
Managed Care December 2001 John Carroll	The Coming HIPAA Crisis HIPAA's timetable has been known for years, but many organizations that the law covers are dawdling pitifully in preparing for compliance...
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.
Entrepreneur March 2003 Mark Henricks	Private Business The word from HIPAA is to keep it zipped when it comes to employee health issues.
Managed Care August 2001 Patrick Mullen	The Expanding Role of Pharmacists Lobbying in Washington, monitoring state legislation and generally looking out for the interests of pharmacy programs run by health care plans and pharmacy benefit managers, Judith Cahill leads the Academy of Managed Care Pharmacy at an exciting, critical time...
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...
Managed Care April 2000 Mark D. Abruzzo, J.D.	Despite What You Hear, State Privacy Statutes No Threat to DM In Managed Care's November 1999 issue, Al Lewis, president of the Disease Management Association of America, wrote about potential pitfalls facing DM. One identified by Lewis was state privacy laws, a topic that merits further attention....
Inc. November 2003 Alison Stein Wellner	The Privacy Time Bomb If you provide health insurance, you're sitting on a potential privacy time bomb. Here's how to defuse it.
IndustryWeek April 1, 2003 Tonya Vinas	Ready Or Not, Here Comes HIPAA New federal health-information regulations have companies scrambling to comply.
CIO November 1, 2002 Ben Worthen	How to Meet Tomorrow's Privacy Rules Today When it comes to preparing for impending security regulations, health-care CIOs have some simple advice: Act now.
Managed Care March 2007	Use of Generics On the Rise Recent data indicate that generic medication accounts for nearly 60% of the drugs dispensed to people in Medicare Prescription Drug Plans and Medicare Advantage plans.
Managed Care September 2000	Countdown Begins for Compliance With HIPAA Electronic Standards If you thought a lot of time and money was spent on Y2K readiness, you ain't seen nothin' yet. Complying with the new rules for electronic transaction standards under the Health Insurance Portability and Accountability Act is expected to exceed Y2K in terms of dollars and work hours...
BusinessWeek January 20, 2011 Anna Edney	The Doctors in the House Have an Agenda Republican physician-lawmakers want to dismantle a Medicare cost-cutting board that could hit doctors in their wallets.
Managed Care January 2005	Health Care Inflation Takes a Breather The good news for payers: Health care spending is estimated to have grown 7.8% in 2003, a slowdown from the 9.3% growth seen in 2002.
Managed Care January 2007	Medicare's P4P Program Under Fire Before It Has Begun Just before adjourning last month, the outgoing Congress passed legislation that would set up a pay-for-performance program in Medicare.
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.
Managed Care May 2001 Michael Levin-Epstein	Prescription Drug Talk Cooled Off Faster Than a Texas Thunderstorm Medicare reform -- and especially prescription drug benefits within Medicare -- no longer appears to be the burning issue it once was on Capitol Hill. The culprits: priorities and money...
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...
Real Estate Portfolio Nov/Dec 2003 Matthew Bechard	Sen. Edward Kennedy on Partisanship, Preserving Pensions and the Value of REITs As the senior Democrat on the Health, Education, Labor and Pensions Committee in the Senate, Kennedy is actively involved in shaping policy affecting education, health care and pension plans -- an issue of particular importance to the REIT industry. An interview.
Managed Care March 2008	CMS Hybrid Payment System Shows Promise Combining Medicare fee-for-service payments with new incentive programs could help physician groups save money for Medicare and reach quality-of-care targets.
Insurance & Technology February 7, 2004 Katherine Burger	Father Knows Best The author's father, who volunteers in a community center to help seniors file and follow up on insurance claims, airs some gripes with the medical insurance industry's lack of standardization.
Managed Care November 2001 Darren T. Binder	Determining Who Is Covered By HIPAA Privacy Regulation Because there are significant penalties associated with noncompliance with the new HIPAA, business leaders must determine whether their operations put them at risk of violating the regulations...
PC World April 25, 2008 Erik Larkin, PC World	Should You Trust Your Health Records to Google and Microsoft? Until we have laws guaranteeing the privacy of my digitized health information, I'll pass.
The Motley Fool January 22, 2007 Michael P. Cecil	Will Medicare Negotiate With Drug Companies? One of the bedrock principles of our economic system is that those buying more of a product receive a discount. Wouldn't empowering Medicare to save taxpayers' money be widely embraced as a great idea? But how would pharma investors see it?
Managed Care December 2002 Joyce Ochs	Providers, Plans Misinformed About Vendor Software Capability Software vendors are not affected by HIPAA, although their customers are. Jeffrey Fusile, the partner at PriceWaterhouseCoopers who heads the HIPAA Advisory Services, claims that "vendors and clearinghouses have misled people to a fault."
Managed Care December 2002	Drug-discount program's effectiveness hindered by lack of use California offers a prescription drug discount program that allows Medicare beneficiaries to get discounts just by showing their Medicare cards to pharmacists. Unfortunately, a majority of those eligible -- both those with and without drug coverage -- have never heard of the program.
Pharmaceutical Executive October 1, 2008 Jill Wechsler	Part D Under Attack Congressional leaders ready campaign to curb Medicare drug plans.
Managed Care March 2007 John Carroll	Democratic Agenda Places Medicare Advantage at Risk Battle lines are drawn over proposals to raid the Medicare managed care program of funds to be applied to other health care needs. Democrats themselves are split.
The Motley Fool March 17, 2005 Tom Taulli	Bitter Pill for ProxyMed Technology was supposed to make health care cheaper and tech companies richer. Neither seems to be the case. While ProxyMed has dealt with its regulatory costs and is continuing to see growth in its business, there are many questions lingering for investors.
Managed Care January 2008 Peter Kongstvedt	The Managed Care Forecast Here are some of the challenges that health insurers face this year.
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 August 2002 Michael S. Victoroff	Prying Eyes Push Against Boundary of Medical Privacy It seems some folks have been publishing on the Internet pictures of women visiting abortion clinics. Is this constitutionally protected journalism? Or a violation of privacy?
Managed Care March 2001	Bush: Medicare Drug Benefit Tied To Overall Reform Working quickly, President Bush has drafted the first half of his prescription drug plan for Medicare and sent it to Congress...
Managed Care October 2003 John L. Phelan	Pay Incentives to Physicians For Filing Electronic Claims Physicians' well-known reluctance to invest in office computer hardware and software is costing health plans money. How to get the docs' attention?
Managed Care June 2002 T. Emmet Thornton	HIPAA Affects Docs' Response To Subpoenas for Medical Data The Health Insurance Portability and Privacy Act of 1996 will supersede state law on medical-record subpoenas in several respects.
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 August 2001	Prescription Plan For Medicare Faces Lawsuit President Bush's plan to give prescription discounts to Medicare beneficiaries has created quite a storm...
Managed Care June 2001 Bob Carlson	Prompt-Payment Laws Don't Get to Heart of Matter "What we've got here is a failure to communicate," says Strother Martin as the captain in Cool Hand Luke. He's talking about the prisoner Luke, played by Paul Newman -- but he could just as well be explaining why it's so hard for physicians to get their claims paid...
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 May 2007 Martin Sipkoff	Medication Therapy Management May Finally Enter the Mainstream Pharmacies can now take advantage of CPT codes to bill insurers for direct patient care. Will private payers follow Medicare in offering this service?
Managed Care November 2007	Patient Advocates Want Part D Changes A Medicare-administered drug benefit would be more affordable and comprehensive than the current private insurance-run drug benefit, say patient advocate groups.
Bank Systems & Technology May 15, 2008 Maria Bruno-Britz	Banks Eye Opportunities in Healthcare Beyond HSAs Banks are beginning to eye opportunities in the healthcare space beyond offering health savings accounts. Fifth Third's Web-based ERA Integration service is designed to provide healthcare clients with a single, manageable data file that enables automated posting.
Registered Rep. May 1, 2005 Daniels, Leibell & Prince	Planning for the Unthinkable End-of-life events are almost always fraught with financial implications that need to be addressed. The better prepared a patient and his family are for end-of-life decisions, the more smoothly the financial portion of the event is likely to proceed.