Adding Another Weapon to the Subrogation Arsenal

By: Sean Donnelly and Jon Jablon It may only be October, but Christmas has come early for self-insured health plans.  A recent court decision out of Washington affirms a self-insured plan’s right to offset claims as part of its subrogation and reimbursement rights – that is, to deny f
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Spending on Tuberculosis Slipped Last Year

Few diseases need new medicines as much as tuberculosis, with most patients diagnosed by a method more than a century old and treated with drugs more than 40 years old. Yet global investment in new tools declined last year, a new report found. While the dropin funding wasn’t hug
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Canceled Policies Heat Up Health Fight

Louise Radnofsky & Timothy W. Martin Problems surrounding the launch of the federal health-care law broadened Tuesday, as concerns that thousands of Americans are getting insurance-cancellation notices bubbled over at a hearing on Capitol Hill. Highlighting a growing number of su
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HealthCare.gov ‘fixable,’ but bumps abound as many try to sign up

By Harris Meyer, Jessica Zigmond and Joseph Conn Last week was a rough one for Obamacare, and this coming week may be no different. Americans continued to struggle to sign up for coverage on the federal HealthCare.gov online marketplace serving 36 states, though there were reports tha
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You don’t always get what you pay for

By Joe Carlson The burning in his chest and aching in his arm told Charles, a resident of Kernersville, N.C., that he had to go to the hospital. But which hospital? Rather than check published data comparing hospital quality and costs, the computer analyst did what many Americans do.
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Docs protest as insurers trim Advantage networks in reaction to rate reductions

By Andis Robeznieks and Paul Demko (Updated with comment from the American College of Cardiology on Oct. 28, 2013.) Dr. Mitchell Lipton learned that he might lose up to 25% of his patients when he received letters from UnitedHealthcare and EmblemHealth informing him that he was being
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Regional News/South: Mississippi Blues seeks to halt gov’s HMA order

By Modern Healthcare Mississippi Gov. Phil Bryant is backing hospital chain Health Management Associates in its spat with Blue Cross and Blue Shield of Mississippi. The governor issued an executive order to force the insurer to include HMA’s hospitals in its network. Now the Blu
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Hospitals boost spinal surgery when physicians stand to gain from device sales, OIG finds

By Joe Carlson Hospitals tended to increase their spinal surgery cases when the orthopedic surgeons who performed the operations stood to profit from the sales of the surgical plates, rods and screws used in the procedures, HHS’ Office of the Inspector General concluded. Senate
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White House says ‘Obamacare’ website will be fixed by end of November

Reuters The website for Americans to buy insurance under President Barack Obama’s health care law should be working smoothly for most users by the end of November, a White House official assigned to fix Healthcare.gov said Friday. Read more…
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Federal Health Site Stymied By Lack of Direction

By Christopher Weaver & Louise Radnofsky A team of young policy experts energized by President Barack Obama’s health law toiled for three years in a Bethesda, Md., office building to draw up specifications for the federally run insurance marketplace. Forty miles away at the
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